- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $28.84 / $47.86
| Facility | | $10.00 | $28.84 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $50.12
| Professional | | $7.94 | $10.00 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $15.85 / $100.00
| Facility | | $10.23 | $15.85 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $12.30 / $25.70
| Professional | | $7.41 | $12.30 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $26.92 / $43.65
| Facility | | $21.88 | $26.92 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $14.45
| Professional | | $11.48 | $11.48 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $17.78 / $42.66
| Facility | | $8.91 | $17.78 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $14.79 / $19.05
| Professional | | $8.13 | $14.79 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $3,630.78 / $9,772.37
| Facility | | $9.33 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $20.89
| Professional | | $17.78 | $17.78 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $33.88
| Professional | | $12.30 | $12.30 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Facility | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $15.85 / $100.00
| Facility | | $10.23 | $15.85 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $12.30 / $25.70
| Professional | | $7.41 | $12.30 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $12.30 / $18.62
| Facility | | $6.46 | $12.30 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $10.96 / $26.92
| Professional | | $5.89 | $10.96 | $26.92 |