- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $60.26 / $109.65
| Facility | | $23.99 | $60.26 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $23.99 / $77.62
| Professional | | $19.05 | $23.99 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $36.31 / $93.33
| Facility | | $23.99 | $36.31 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $26.30 / $812.83
| Professional | | $15.49 | $26.30 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $63.10 / $102.33
| Facility | | $51.29 | $63.10 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $25.70
| Professional | | $24.55 | $24.55 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $44.67 / $100.00
| Facility | | $20.89 | $44.67 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $31.62 / $67.61
| Professional | | $15.85 | $31.62 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $3,630.78 / $9,772.37
| Facility | | $38.02 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $44.67
| Professional | | $38.02 | $38.02 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $56.23
| Professional | | $26.30 | $26.30 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $36.31 / $93.33
| Facility | | $23.99 | $36.31 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $26.30 / $812.83
| Professional | | $15.49 | $26.30 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $26.30 / $43.65
| Facility | | $23.44 | $26.30 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $22.91 / $60.26
| Professional | | $15.49 | $22.91 | $60.26 |