- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $74.27 / $445.64
| Facility | | $11.25 | $74.27 | $445.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $6.82 / $10.02
| Professional | | $5.21 | $6.82 | $10.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $5.79 / $8.68
| Professional | | $3.04 | $5.79 | $8.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $27.26 / $51.21
| Facility | | $9.55 | $27.26 | $51.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.00 / $6.42
| Professional | | $4.76 | $5.00 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $12.59 / $22.80
| Facility | | $8.02 | $12.59 | $22.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.11 / $13.89
| Professional | | $6.51 | $9.11 | $13.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $8.59 / $8.68
| Facility | | $8.59 | $8.59 | $8.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $18.95 / $39.57
| Facility | | $6.07 | $18.95 | $39.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $8.69 / $15.26
| Professional | | $4.97 | $8.69 | $15.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.44 / $99.74 / $99.74
| Facility | | $78.44 | $99.74 | $99.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $12.75 / $14.49
| Professional | | $7.81 | $12.75 | $14.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.90 / $8.68 / $20.14
| Facility | | $6.90 | $8.68 | $20.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $8.68 / $12.05
| Professional | | $7.81 | $8.68 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.71 / $147.40 / $390.50
| Facility | | $107.71 | $147.40 | $390.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.90 / $8.68 / $21.63
| Facility | | $6.90 | $8.68 | $21.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $8.68 / $14.35
| Professional | | $4.97 | $8.68 | $14.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.98 / $7.18
| Professional | | $3.65 | $4.98 | $7.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $4.29 / $8.68
| Professional | | $4.29 | $4.29 | $8.68 |