- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.00 / $35.49 / $64.53
| Facility | | $20.00 | $35.49 | $64.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $28.00 / $58.56
| Professional | | $20.00 | $28.00 | $58.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $13.50 / $13.50
| Professional | | $13.50 | $13.50 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.73 / $37.42 / $1,136.19
| Facility | | $26.73 | $37.42 | $1,136.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.01 / $23.54 / $8,639.91
| Facility | | $20.01 | $23.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.36 / $22.36 / $22.36
| Professional | | $22.36 | $22.36 | $22.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.10 / $22.10 / $22.10
| Facility | | $22.10 | $22.10 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.10 / $22.10 / $22.10
| Professional | | $22.10 | $22.10 | $22.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $41.30 / $70.58
| Facility | | $15.52 | $41.30 | $70.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.73 / $211.51 / $873.99
| Facility | | $26.73 | $211.51 | $873.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.82 / $36.92 / $88.34
| Facility | | $15.82 | $36.92 | $88.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $27.94 / $57.35
| Professional | | $20.00 | $27.94 | $57.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.00 / $297.08 / $355.00
| Facility | | $71.00 | $297.08 | $355.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.10 / $22.10 / $22.10
| Facility | | $22.10 | $22.10 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.10 / $22.10 / $22.10
| Professional | | $22.10 | $22.10 | $22.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.52 / $21.95 / $24.97
| Facility | | $21.52 | $21.95 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.52 / $21.52 / $24.97
| Professional | | $21.52 | $21.52 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.35 / $23.53 / $36.50
| Professional | | $22.35 | $23.53 | $36.50 |