- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.53 / $45.57 / $92.24
| Facility | | $19.53 | $45.57 | $92.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.35 / $16.07 / $31.46
| Professional | | $13.35 | $16.07 | $31.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.11 / $24.11 / $62.69
| Facility | | $24.11 | $24.11 | $62.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $14.58 / $45.73
| Professional | | $9.64 | $14.58 | $45.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.47 / $24.11 / $24.11
| Facility | | $14.47 | $24.11 | $24.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $24.11 / $24.11
| Professional | | $17.60 | $24.11 | $24.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $48.76 / $194.11
| Facility | | $16.85 | $48.76 | $194.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $26.37 / $116.21
| Professional | | $13.89 | $26.37 | $116.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.10 / $31.34 / $332.00
| Facility | | $12.10 | $31.34 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $14.47 / $44.12
| Professional | | $9.64 | $14.47 | $44.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $21.45 / $27.08
| Professional | | $16.30 | $21.45 | $27.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.18 / $34.99 / $166.71
| Facility | | $19.18 | $34.99 | $166.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.48 / $58.75 / $254.50
| Facility | | $21.48 | $58.75 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.54 / $24.47 / $39.60
| Professional | | $14.54 | $24.47 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $12.06 / $35.40
| Professional | | $10.13 | $12.06 | $35.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.73 / $27.73 / $66.50
| Facility | | $27.73 | $27.73 | $66.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $22.90 / $28.98
| Professional | | $16.30 | $22.90 | $28.98 |