- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $52.48 / $85.11
| Facility | | $19.05 | $52.48 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $19.05 / $60.26
| Professional | | $14.13 | $19.05 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $70.79
| Facility | | $18.20 | $28.18 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $21.38 / $165.96
| Professional | | $12.02 | $21.38 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $48.98 / $79.43
| Facility | | $39.81 | $48.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $19.50
| Professional | | $19.05 | $19.05 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $33.88 / $77.62
| Facility | | $16.22 | $33.88 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $22.39 / $52.48
| Professional | | $12.02 | $22.39 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $3,630.78 / $9,772.37
| Facility | | $36.31 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $28.84 / $33.88
| Professional | | $28.84 | $28.84 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $42.66
| Professional | | $19.95 | $19.95 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $70.79
| Facility | | $18.20 | $28.18 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $21.38 / $165.96
| Professional | | $12.02 | $21.38 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $19.95 / $33.11
| Facility | | $16.98 | $19.95 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $19.95 / $41.69
| Professional | | $12.02 | $19.95 | $41.69 |