- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $24.31 / $50.81
| Facility | | $5.19 | $24.31 | $50.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.80 / $9.43
| Professional | | $4.72 | $6.80 | $9.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $4.72 / $5.46
| Professional | | $3.77 | $4.72 | $5.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $25.94 / $47.00
| Facility | | $9.75 | $25.94 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $5.34 / $5.50
| Professional | | $4.32 | $5.34 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $11.79 / $46.78
| Facility | | $7.26 | $11.79 | $46.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.23 / $12.58
| Professional | | $5.90 | $8.23 | $12.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $7.00 / $7.86
| Facility | | $7.00 | $7.00 | $7.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.49 / $17.17 / $36.18
| Facility | | $5.49 | $17.17 | $36.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $6.05 / $13.13
| Professional | | $4.17 | $6.05 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.83 / $70.00 / $70.00
| Facility | | $25.83 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $7.86 / $10.22
| Facility | | $6.29 | $7.86 | $10.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $7.86 / $10.91
| Professional | | $7.07 | $7.86 | $10.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.35 / $334.37 / $1,475.72
| Facility | | $244.35 | $334.37 | $1,475.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $7.86 / $19.47
| Facility | | $6.29 | $7.86 | $19.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $6.11 / $11.36
| Professional | | $4.17 | $6.11 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.51 / $7.80
| Professional | | $3.30 | $4.51 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.88 / $7.86
| Professional | | $3.07 | $3.88 | $7.86 |