- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $97.20 / $351.97
| Facility | | $16.78 | $97.20 | $351.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $13.30 / $25.03
| Professional | | $11.04 | $13.30 | $25.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $11.04 / $11.04
| Professional | | $8.83 | $11.04 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.79 / $57.78 / $104.33
| Facility | | $20.79 | $57.78 | $104.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.75 / $17.66
| Professional | | $5.00 | $9.75 | $17.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.01 / $28.52 / $82.88
| Facility | | $17.01 | $28.52 | $82.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $18.97 / $27.60
| Professional | | $13.80 | $18.97 | $27.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $18.39 / $18.39
| Facility | | $18.39 | $18.39 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $31.13 / $80.98
| Facility | | $12.85 | $31.13 | $80.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $10.08 / $27.90
| Professional | | $8.72 | $10.08 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.87 / $105.37 / $105.37
| Facility | | $82.87 | $105.37 | $105.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $18.39 / $23.00
| Facility | | $13.40 | $18.39 | $23.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.64 / $18.39 / $21.93
| Professional | | $15.64 | $18.39 | $21.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $18.39 / $42.46
| Facility | | $13.40 | $18.39 | $42.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $10.39 / $19.59
| Professional | | $8.72 | $10.39 | $19.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.93 / $13.40
| Professional | | $7.73 | $7.93 | $13.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $7.36 / $18.39
| Professional | | $7.18 | $7.36 | $18.39 |