- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.02 / $67.20 / $172.24
| Facility | | $14.02 | $67.20 | $172.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $12.63 / $14.60
| Professional | | $8.76 | $12.63 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $8.76 / $10.14
| Professional | | $7.01 | $8.76 | $10.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.25 / $48.18 / $87.45
| Facility | | $18.25 | $48.18 | $87.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.74 / $12.99
| Professional | | $5.00 | $7.74 | $12.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $23.36 / $89.55
| Facility | | $14.60 | $23.36 | $89.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $14.60 / $23.36
| Professional | | $10.95 | $14.60 | $23.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.31 / $14.31 / $14.60
| Facility | | $14.31 | $14.31 | $14.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $32.08 / $74.04
| Facility | | $10.19 | $32.08 | $74.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.65 / $24.62
| Professional | | $7.74 | $10.65 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.00 / $73.56 / $100.00
| Facility | | $72.00 | $73.56 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $14.60 / $22.43
| Facility | | $11.68 | $14.60 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $14.60 / $19.03
| Professional | | $13.14 | $14.60 | $19.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $14.60 / $36.50
| Facility | | $11.68 | $14.60 | $36.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $11.24 / $21.09
| Professional | | $7.74 | $11.24 | $21.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.41 / $13.65
| Professional | | $6.13 | $8.41 | $13.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.21 / $14.60
| Professional | | $5.69 | $7.21 | $14.60 |