- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.53 / $26.65 / $30.25
| Facility | | $20.53 | $26.65 | $30.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.17 / $27.01 / $41.51
| Professional | | $20.17 | $27.01 | $41.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.27 / $45.47 / $114.88
| Facility | | $26.27 | $45.47 | $114.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.57 / $19.57 / $21.97
| Professional | | $19.57 | $19.57 | $21.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.12 / $41.12 / $41.12
| Facility | | $41.12 | $41.12 | $41.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.65 / $29.06 / $29.06
| Facility | | $28.65 | $29.06 | $29.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.70 / $24.70 / $29.36
| Professional | | $24.70 | $24.70 | $29.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.60 / $229.81 / $229.81
| Facility | | $218.60 | $229.81 | $229.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $248.81 / $254.79 / $321.23
| Professional | | $248.81 | $254.79 | $321.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $30.86 / $44.15
| Facility | | $13.24 | $30.86 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $37.60 / $48.38
| Professional | | $16.32 | $37.60 | $48.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $15.90 / $15.90
| Professional | | $15.90 | $15.90 | $15.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $29.43 / $42.36
| Facility | | $13.24 | $29.43 | $42.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.70 / $24.70 / $38.64
| Professional | | $24.70 | $24.70 | $38.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.97 / $22.31 / $29.43
| Professional | | $16.97 | $22.31 | $29.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $41.12
| Professional | | $21.47 | $21.47 | $41.12 |