- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $23.43 / $40.36
| Facility | | $10.37 | $23.43 | $40.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $11.91 / $13.39
| Professional | | $6.49 | $11.91 | $13.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $6.03
| Professional | | $6.03 | $6.03 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.39 / $13.39 / $34.81
| Facility | | $13.39 | $13.39 | $34.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.59 / $23.64
| Professional | | $4.42 | $7.59 | $23.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $13.39 / $13.39
| Facility | | $8.02 | $13.39 | $13.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.39 / $13.39
| Professional | | $9.77 | $13.39 | $13.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $26.86 / $94.03
| Facility | | $9.35 | $26.86 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $14.98 / $86.30
| Professional | | $9.98 | $14.98 | $86.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $18.75 / $332.00
| Facility | | $10.60 | $18.75 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.02 / $24.50
| Professional | | $6.12 | $8.02 | $24.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.49 / $9.49 / $9.49
| Facility | | $9.49 | $9.49 | $9.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $12.72 / $16.09
| Professional | | $9.49 | $12.72 | $16.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $20.17 / $59.64
| Facility | | $10.78 | $20.17 | $59.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $180.66
| Facility | | $13.73 | $32.36 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $15.79 / $27.58
| Professional | | $10.67 | $15.79 | $27.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.36 / $19.67
| Professional | | $5.62 | $7.36 | $19.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.40 / $15.40 / $49.34
| Facility | | $15.40 | $15.40 | $49.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $14.04 / $17.77
| Professional | | $11.81 | $14.04 | $17.77 |