- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $50.50 / $115.54
| Facility | | $11.81 | $50.50 | $115.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $11.81 / $72.02
| Professional | | $5.94 | $11.81 | $72.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $27.01 / $293.00
| Facility | | $12.27 | $27.01 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $8.82 / $24.26
| Professional | | $5.53 | $8.82 | $24.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.01 / $75.50 / $145.44
| Facility | | $29.01 | $75.50 | $145.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.91 / $53.76
| Professional | | $6.94 | $9.91 | $53.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $14.71 / $38.99
| Facility | | $7.75 | $14.71 | $38.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $13.63 / $19.88
| Professional | | $7.22 | $13.63 | $19.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $11.20 / $17.92
| Professional | | $9.94 | $11.20 | $17.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $11.20 / $24.42
| Professional | | $8.96 | $11.20 | $24.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $109.00
| Facility | | $55.00 | $70.00 | $109.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $5.60
| Professional | | $5.60 | $5.60 | $5.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $13.44 / $34.38
| Facility | | $8.40 | $13.44 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $11.20 / $22.40
| Professional | | $7.42 | $11.20 | $22.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.31 / $39.31 / $39.31
| Professional | | $39.31 | $39.31 | $39.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $11.20 / $15.68
| Professional | | $8.96 | $11.20 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $6.66 / $21.52
| Professional | | $4.70 | $6.66 | $21.52 |