- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $29.32 / $48.45
| Facility | | $14.45 | $29.32 | $48.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.45 / $14.60 / $15.98
| Professional | | $12.45 | $14.60 | $15.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $17.00 / $44.20
| Facility | | $17.00 | $17.00 | $44.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $10.24 / $37.86
| Professional | | $8.00 | $10.24 | $37.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $17.00 / $17.00
| Facility | | $10.19 | $17.00 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.41 / $17.00 / $17.00
| Professional | | $12.41 | $17.00 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $34.63 / $173.72
| Facility | | $11.88 | $34.63 | $173.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $106.51
| Professional | | $12.58 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $22.10 / $332.00
| Facility | | $8.60 | $22.10 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $10.11 / $31.11
| Professional | | $7.77 | $10.11 | $31.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Facility | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $15.81 / $20.43
| Professional | | $10.10 | $15.81 | $20.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $41.72 / $227.76
| Facility | | $16.57 | $41.72 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $23.06 / $35.02
| Professional | | $13.44 | $23.06 | $35.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $10.19 / $25.50
| Professional | | $7.14 | $10.19 | $25.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $61.03
| Facility | | $19.55 | $19.55 | $61.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $17.82 / $21.99
| Professional | | $13.52 | $17.82 | $21.99 |