- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $34.58 / $58.63
| Facility | | $7.47 | $34.58 | $58.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $8.23 / $8.35
| Professional | | $7.47 | $8.23 | $8.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.52 / $60.42 / $8,639.91
| Facility | | $46.52 | $60.42 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $7.19 / $7.19
| Professional | | $7.19 | $7.19 | $7.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $12.27 / $30.42
| Facility | | $6.06 | $12.27 | $30.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $10.74 / $16.07
| Professional | | $5.75 | $10.74 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $5.44 / $12.48
| Professional | | $4.24 | $5.44 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $26.45 / $92.40
| Facility | | $12.60 | $26.45 | $92.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $5.53 / $9.00
| Professional | | $5.53 | $5.53 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $25.07 / $58.63
| Facility | | $7.47 | $25.07 | $58.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $8.28 / $38.08
| Professional | | $6.64 | $8.28 | $38.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $14.01 / $30.42
| Facility | | $6.17 | $14.01 | $30.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $10.74 / $16.07
| Professional | | $5.75 | $10.74 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $9.22 / $9.22
| Facility | | $9.22 | $9.22 | $9.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $9.22 / $13.13
| Professional | | $8.11 | $9.22 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $5.90 / $16.87
| Professional | | $4.15 | $5.90 | $16.87 |