- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $30.07 / $50.42
| Facility | | $16.80 | $30.07 | $50.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $15.04 / $19.14
| Professional | | $13.13 | $15.04 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.69 / $17.69 / $45.99
| Facility | | $17.69 | $17.69 | $45.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.70 / $39.92
| Professional | | $8.44 | $10.70 | $39.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $17.69 / $17.69
| Facility | | $10.61 | $17.69 | $17.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $17.69 / $17.69
| Professional | | $12.91 | $17.69 | $17.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $37.36 / $182.74
| Facility | | $12.36 | $37.36 | $182.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $19.72 / $113.84
| Professional | | $13.23 | $19.72 | $113.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $25.26 / $332.00
| Facility | | $14.60 | $25.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $10.61 / $32.36
| Professional | | $8.08 | $10.61 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.69 / $17.69 / $17.69
| Facility | | $17.69 | $17.69 | $17.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $17.69 / $22.82
| Professional | | $15.59 | $17.69 | $22.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.25 / $43.41 / $239.59
| Facility | | $17.25 | $43.41 | $239.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $24.32 / $50.00
| Professional | | $14.03 | $24.32 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.61 / $27.77
| Professional | | $7.43 | $10.61 | $27.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.34 / $20.34 / $65.16
| Facility | | $20.34 | $20.34 | $65.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $19.13 / $23.48
| Professional | | $15.59 | $19.13 | $23.48 |