- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $29.82 / $49.22
| Facility | | $12.09 | $29.82 | $49.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.41 / $11.91 / $14.68
| Professional | | $9.41 | $11.91 | $14.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $44.90
| Facility | | $17.27 | $17.27 | $44.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $8.80 / $31.57
| Professional | | $6.91 | $8.80 | $31.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $17.27 / $17.27
| Facility | | $10.36 | $17.27 | $17.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $17.27 / $17.27
| Professional | | $12.61 | $17.27 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $22.35 / $42.58
| Facility | | $9.15 | $22.35 | $42.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $24.78 / $83.24
| Professional | | $9.67 | $24.78 | $83.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.36 / $24.88 / $332.00
| Facility | | $15.36 | $24.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.28 / $32.29
| Professional | | $6.91 | $10.28 | $32.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $10.46 / $10.46
| Facility | | $10.46 | $10.46 | $10.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.46 / $14.68 / $19.39
| Professional | | $10.46 | $14.68 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.91 / $15.23 / $77.50
| Facility | | $14.91 | $15.23 | $77.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $30.86 / $555.00
| Facility | | $12.07 | $30.86 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $16.51 / $35.58
| Professional | | $11.23 | $16.51 | $35.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $9.91 / $25.04
| Professional | | $7.25 | $9.91 | $25.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.86 / $19.86 / $24.40
| Facility | | $19.86 | $19.86 | $24.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $16.41 / $20.76
| Professional | | $10.82 | $16.41 | $20.76 |