- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.16 / $34.89 / $84.55
| Facility | | $8.16 | $34.89 | $84.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $9.25 / $84.55
| Professional | | $6.58 | $9.25 | $84.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $31.72 / $293.00
| Facility | | $14.41 | $31.72 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $6.45 / $20.93
| Professional | | $5.26 | $6.45 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.46 / $60.70 / $101.63
| Facility | | $21.46 | $60.70 | $101.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.84 / $63.12
| Professional | | $4.79 | $6.84 | $63.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.27 / $44.03
| Facility | | $8.46 | $17.27 | $44.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $15.28 / $20.14
| Professional | | $5.61 | $15.28 | $20.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $13.15 / $21.04
| Professional | | $8.42 | $13.15 | $21.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $13.15 / $29.33
| Professional | | $10.52 | $13.15 | $29.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $6.57 / $6.57
| Professional | | $6.57 | $6.57 | $6.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $13.15 / $29.35
| Facility | | $7.55 | $13.15 | $29.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $10.63 / $16.63
| Professional | | $5.72 | $10.63 | $16.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.15 / $46.15 / $46.15
| Professional | | $46.15 | $46.15 | $46.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $13.15 / $18.41
| Professional | | $10.52 | $13.15 | $18.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $5.52 / $15.78
| Professional | | $4.54 | $5.52 | $15.78 |