- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $81.25 / $151.37
| Facility | | $10.83 | $81.25 | $151.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $11.70 / $15.46
| Professional | | $8.33 | $11.70 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $8.06 / $13.44
| Professional | | $6.45 | $8.06 | $13.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $44.35 / $80.37
| Facility | | $16.67 | $44.35 | $80.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.12 / $11.73
| Professional | | $5.00 | $7.12 | $11.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $21.50 / $82.44
| Facility | | $13.44 | $21.50 | $82.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $13.96 / $22.86
| Professional | | $10.08 | $13.96 | $22.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $13.44 / $13.44
| Facility | | $13.44 | $13.44 | $13.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.40 / $29.54 / $67.43
| Facility | | $9.40 | $29.54 | $67.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $9.75 / $22.43
| Professional | | $7.12 | $9.75 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $71.00 / $77.00
| Facility | | $50.00 | $71.00 | $77.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $13.44 / $23.53
| Facility | | $10.75 | $13.44 | $23.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $13.44 / $17.51
| Professional | | $12.10 | $13.44 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.55 / $247.81 / $564.52
| Facility | | $173.55 | $247.81 | $564.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $13.44 / $33.79
| Facility | | $10.75 | $13.44 | $33.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $10.35 / $19.41
| Professional | | $7.12 | $10.35 | $19.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.88 / $11.12
| Professional | | $5.64 | $7.88 | $11.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $6.64 / $13.44
| Professional | | $5.24 | $6.64 | $13.44 |