- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $19.05 / $31.62
| Facility | | $9.77 | $19.05 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.91 / $19.05
| Professional | | $7.08 | $8.91 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $25.12
| Facility | | $9.77 | $9.77 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.31 / $22.91
| Professional | | $4.79 | $6.31 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $9.77 / $9.77
| Facility | | $5.89 | $9.77 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.77 / $9.77
| Professional | | $7.08 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $25.12 / $104.71
| Facility | | $6.76 | $25.12 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.80 / $46.77
| Professional | | $6.31 | $13.80 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $9.77 / $26.92
| Facility | | $3.98 | $9.77 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.76 / $19.05
| Professional | | $4.57 | $6.76 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.77 / $12.88
| Professional | | $8.32 | $9.77 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $18.20 / $50,118.72
| Facility | | $12.59 | $18.20 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $8.71 / $11.75
| Facility | | $5.89 | $8.71 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.92 / $19.95
| Professional | | $5.25 | $6.92 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $11.22 / $26.30
| Facility | | $8.32 | $11.22 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.23 / $23.44
| Professional | | $8.32 | $10.23 | $23.44 |