- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $30.36 / $84.19
| Facility | | $8.02 | $30.36 | $84.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.44 / $12.99
| Professional | | $5.00 | $8.44 | $12.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $9.46 / $9.46
| Professional | | $4.73 | $9.46 | $9.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.63 / $61.85 / $8,639.91
| Facility | | $47.63 | $61.85 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.38 / $7.38 / $7.38
| Professional | | $7.38 | $7.38 | $7.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.22 / $12.60 / $31.51
| Facility | | $6.22 | $12.60 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $10.74 / $16.50
| Professional | | $5.90 | $10.74 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.89 / $12.81
| Professional | | $4.34 | $5.89 | $12.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $27.65 / $54.73
| Facility | | $13.37 | $27.65 | $54.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $9.00 / $9.90
| Professional | | $5.68 | $9.00 | $9.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $26.93 / $87.84
| Facility | | $8.02 | $26.93 | $87.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.38 / $8.56 / $39.07
| Professional | | $7.38 | $8.56 | $39.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.33 / $14.36 / $31.51
| Facility | | $6.33 | $14.36 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $10.71 / $16.50
| Professional | | $5.90 | $10.71 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $9.46 / $9.46
| Facility | | $9.46 | $9.46 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.46 / $13.45
| Professional | | $8.32 | $9.46 | $13.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.79 / $16.46
| Professional | | $3.97 | $5.79 | $16.46 |