- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.87 / $79.93 / $208.71
| Facility | | $31.87 | $79.93 | $208.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $31.70 / $51.41
| Professional | | $23.99 | $31.70 | $51.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $52.69 / $59.98
| Professional | | $5.00 | $52.69 | $59.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.84 / $42.84 / $80.00
| Facility | | $42.84 | $42.84 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.07 / $98.44 / $226.32
| Facility | | $49.07 | $98.44 | $226.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $31.86 / $94.36
| Professional | | $24.30 | $31.86 | $94.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $204.03 / $204.03
| Facility | | $90.00 | $204.03 | $204.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $324.99 / $352.23 / $352.23
| Professional | | $324.99 | $352.23 | $352.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.42 / $53.55 / $95.48
| Facility | | $33.42 | $53.55 | $95.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.70 / $42.84 / $53.55
| Professional | | $40.70 | $42.84 | $53.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.70 / $47.12 / $77.97
| Professional | | $40.70 | $47.12 | $77.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.15 / $64.59 / $156.52
| Facility | | $35.15 | $64.59 | $156.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $42.40 / $83.30
| Professional | | $24.82 | $42.40 | $83.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.98 / $25.14 / $33.82
| Professional | | $17.98 | $25.14 | $33.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $22.19 / $42.84
| Professional | | $21.15 | $22.19 | $42.84 |