- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $46.51 / $228.96
| Facility | | $7.55 | $46.51 | $228.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $8.23 / $11.35
| Professional | | $5.68 | $8.23 | $11.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.73 / $6.57
| Professional | | $3.31 | $4.73 | $6.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.73 / $30.93 / $56.95
| Facility | | $11.73 | $30.93 | $56.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.20 / $7.57
| Professional | | $5.00 | $5.20 | $7.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $14.66 / $56.58
| Facility | | $9.46 | $14.66 | $56.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $9.36 / $14.19
| Professional | | $7.10 | $9.36 | $14.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $9.46 / $9.46
| Facility | | $9.46 | $9.46 | $9.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $20.75 / $47.61
| Facility | | $6.61 | $20.75 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $7.92 / $16.38
| Professional | | $5.34 | $7.92 | $16.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.57 / $9.46 / $13.92
| Facility | | $7.57 | $9.46 | $13.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $9.46 / $12.32
| Professional | | $8.51 | $9.46 | $12.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.57 / $9.46 / $23.52
| Facility | | $7.57 | $9.46 | $23.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $9.46 / $15.51
| Professional | | $5.34 | $9.46 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.41 / $7.83
| Professional | | $3.97 | $5.41 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $4.67 / $9.46
| Professional | | $3.69 | $4.67 | $9.46 |