- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $60.11 / $124.06
| Facility | | $8.56 | $60.11 | $124.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.36 / $5.54
| Professional | | $3.01 | $4.36 | $5.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $3.01 / $5.01
| Professional | | $1.76 | $3.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $16.05 / $29.37
| Facility | | $5.97 | $16.05 | $29.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $4.82 / $5.50
| Professional | | $2.76 | $4.82 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $8.27 / $69.91
| Facility | | $4.76 | $8.27 | $69.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $5.01 / $8.52
| Professional | | $3.77 | $5.01 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.27 / $5.27
| Facility | | $5.01 | $5.27 | $5.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $10.95 / $22.65
| Facility | | $3.51 | $10.95 | $22.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $4.21 / $8.21
| Professional | | $2.66 | $4.21 | $8.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.00 / $60.00 / $60.00
| Facility | | $19.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $7.51 / $8.58
| Professional | | $4.51 | $7.51 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $51.12
| Facility | | $4.01 | $5.01 | $51.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.01 / $9.10
| Professional | | $4.51 | $5.01 | $9.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.16 / $765.09 / $1,528.00
| Facility | | $518.16 | $765.09 | $1,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $12.64
| Facility | | $4.01 | $5.01 | $12.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $4.88 / $7.24
| Professional | | $2.66 | $4.88 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.87 / $4.09
| Professional | | $2.11 | $2.87 | $4.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $2.48 / $5.01
| Professional | | $1.96 | $2.48 | $5.01 |