- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $30.90 / $85.11
| Facility | | $12.02 | $30.90 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $19.95
| Professional | | $10.00 | $12.88 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $10.00
| Professional | | $9.77 | $9.77 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $56.23 / $97.72
| Facility | | $21.88 | $56.23 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $9.12 / $15.85
| Professional | | $5.01 | $9.12 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $16.60
| Facility | | $16.60 | $16.60 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $36.31 / $87.10
| Facility | | $16.22 | $36.31 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $28.18
| Professional | | $8.71 | $11.48 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $100.00 / $100.00
| Facility | | $83.18 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $16.60 / $30.90
| Facility | | $12.30 | $16.60 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.79 / $21.38
| Professional | | $8.91 | $14.79 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $13.80 / $13.80
| Professional | | $12.30 | $13.80 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $16.60 / $47.86
| Facility | | $13.18 | $16.60 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.02 / $28.18
| Professional | | $9.33 | $12.02 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $10.96 / $16.60
| Facility | | $5.89 | $10.96 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.55 / $14.13
| Professional | | $6.92 | $9.55 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $16.60
| Professional | | $6.46 | $6.46 | $16.60 |