- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $25.12 / $44.67
| Facility | | $10.96 | $25.12 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.00 / $21.88
| Professional | | $8.32 | $10.00 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $33.88
| Facility | | $12.88 | $12.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $6.61 / $30.20
| Professional | | $6.31 | $6.61 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $12.88
| Facility | | $7.76 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.88 / $12.88
| Professional | | $9.33 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $27.54 / $138.04
| Facility | | $9.77 | $27.54 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $18.62 / $87.10
| Professional | | $8.51 | $18.62 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $16.60 / $44.67
| Facility | | $11.22 | $16.60 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.12 / $25.12
| Professional | | $6.03 | $9.12 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.88 / $19.05
| Professional | | $11.48 | $12.88 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $26.92 / $57.54
| Facility | | $11.48 | $26.92 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $24.55 / $50,118.72
| Facility | | $16.22 | $24.55 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $11.48 / $16.22
| Facility | | $7.76 | $11.48 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.76 / $19.50
| Professional | | $5.37 | $7.76 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $12.88 / $30.90
| Facility | | $10.96 | $12.88 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.49 / $41.69
| Professional | | $10.96 | $13.49 | $41.69 |