- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $36.03 / $55.43
| Facility | | $10.73 | $36.03 | $55.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $11.85 / $23.12
| Professional | | $10.73 | $11.85 | $23.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $13.25
| Professional | | $13.25 | $13.25 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.87 / $86.83 / $8,639.91
| Facility | | $66.87 | $86.83 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.34 / $10.34
| Professional | | $10.34 | $10.34 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $17.64 / $43.46
| Facility | | $8.71 | $17.64 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.28 / $23.27
| Professional | | $8.39 | $15.28 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $10.60 / $17.94
| Professional | | $6.10 | $10.60 | $17.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $43.66 / $81.20
| Facility | | $6.61 | $43.66 | $81.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $12.50 / $13.75
| Professional | | $7.95 | $12.50 | $13.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $36.03 / $55.43
| Facility | | $11.26 | $36.03 | $55.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $11.87 / $54.72
| Professional | | $9.53 | $11.87 | $54.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $20.13 / $43.46
| Facility | | $8.86 | $20.13 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.28 / $23.27
| Professional | | $8.39 | $15.28 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $13.25
| Facility | | $13.25 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.25 / $14.15
| Professional | | $11.66 | $13.25 | $14.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $8.71 / $23.06
| Professional | | $5.57 | $8.71 | $23.06 |