- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.55 / $48.03 / $107.11
| Facility | | $44.55 | $48.03 | $107.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.55 / $44.55 / $55.69
| Professional | | $44.55 | $44.55 | $55.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.15 / $30.53 / $46.41
| Professional | | $8.15 | $30.53 | $46.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $18.92 / $47.34
| Facility | | $10.34 | $18.92 | $47.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $13.34 / $15.16
| Professional | | $7.88 | $13.34 | $15.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $14.90 / $60.04
| Facility | | $7.95 | $14.90 | $60.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $5.34 / $5.34
| Professional | | $5.34 | $5.34 | $5.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $14.90 / $60.04
| Facility | | $7.95 | $14.90 | $60.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.41 / $46.41 / $69.62
| Professional | | $46.41 | $46.41 | $69.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $65.00 / $182.23
| Professional | | $50.00 | $65.00 | $182.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $14.90 / $60.04
| Facility | | $7.95 | $14.90 | $60.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $5.34 / $5.34
| Professional | | $5.34 | $5.34 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $18.30 / $26.40
| Professional | | $8.63 | $18.30 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.50 / $226.50 / $226.50
| Facility | | $226.50 | $226.50 | $226.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.34 / $47.34 / $47.34
| Professional | | $47.34 | $47.34 | $47.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.36 / $14.36 / $26.25
| Professional | | $14.36 | $14.36 | $26.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.41 / $46.41 / $69.62
| Professional | | $46.41 | $46.41 | $69.62 |