- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $15.63 / $26.99
| Facility | | $7.67 | $15.63 | $26.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $7.63 / $9.47
| Professional | | $2.58 | $7.63 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $9.47 / $24.62
| Facility | | $9.47 | $9.47 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $4.18 / $13.07
| Professional | | $1.93 | $4.18 | $13.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.68 / $9.47 / $9.47
| Facility | | $5.68 | $9.47 | $9.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $9.47 / $9.47
| Professional | | $6.91 | $9.47 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $19.07 / $37.56
| Facility | | $6.62 | $19.07 | $37.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $9.50 / $53.26
| Professional | | $6.29 | $9.50 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $13.26 / $332.00
| Facility | | $7.00 | $13.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $5.68 / $17.32
| Professional | | $3.79 | $5.68 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $9.46 / $11.38
| Professional | | $7.65 | $9.46 | $11.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $22.98 / $113.88
| Facility | | $11.43 | $22.98 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.62 / $22.00
| Professional | | $5.25 | $7.62 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $4.25 / $13.91
| Professional | | $3.35 | $4.25 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.89 / $10.89 / $31.19
| Facility | | $10.89 | $10.89 | $31.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $9.98 / $11.76
| Professional | | $7.65 | $9.98 | $11.76 |