- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $32.64 / $99.56
| Facility | | $2.25 | $32.64 | $99.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.44 / $6.35
| Professional | | $1.85 | $2.44 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $9.08 / $15.00
| Professional | | $9.08 | $9.08 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $19.67 / $29.35
| Facility | | $13.42 | $19.67 | $29.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.00 / $3.00
| Professional | | $3.00 | $3.00 | $3.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $38.06 / $73.30
| Facility | | $2.10 | $38.06 | $73.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.00 / $5.20
| Professional | | $2.65 | $3.00 | $5.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $8.52
| Facility | | $8.52 | $8.52 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.25 / $4.09 / $6.83
| Facility | | $0.25 | $4.09 | $6.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.34 / $9.05
| Professional | | $2.94 | $4.34 | $9.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.76 / $1,300.00 / $1,300.00
| Facility | | $21.76 | $1,300.00 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.31 / $66.80 / $79.20
| Professional | | $66.31 | $66.80 | $79.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.08 / $5.24 / $15.85
| Facility | | $2.08 | $5.24 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.75 / $12.75
| Professional | | $2.60 | $3.75 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.41 / $81.59 / $898.34
| Facility | | $60.41 | $81.59 | $898.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $4.73 / $8.17
| Facility | | $1.84 | $4.73 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $3.92 / $9.05
| Professional | | $2.92 | $3.92 | $9.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.00 / $3.00
| Professional | | $3.00 | $3.00 | $3.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.14 / $1.55
| Professional | | $1.14 | $1.14 | $1.55 |