- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $30.90 / $123.03
| Facility | | $17.78 | $30.90 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $25.12 / $64.57
| Professional | | $18.62 | $25.12 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $57.54 / $77.62
| Facility | | $22.39 | $57.54 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $23.44 / $27.54
| Professional | | $20.89 | $23.44 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $45.71
| Facility | | $23.44 | $23.44 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $22.91
| Facility | | $22.91 | $22.91 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $22.91
| Professional | | $22.91 | $22.91 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $56.23 / $8,511.38
| Facility | | $27.54 | $56.23 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $23.44 / $38.90
| Professional | | $19.95 | $23.44 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $52.48 / $162.18
| Facility | | $10.23 | $52.48 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $57.54 / $77.62
| Facility | | $22.39 | $57.54 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $23.44 / $27.54
| Professional | | $20.89 | $23.44 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $31.62 / $81.28
| Facility | | $12.59 | $31.62 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $47.86
| Facility | | $22.39 | $22.39 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $25.12 / $31.62
| Professional | | $20.89 | $25.12 | $31.62 |