- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $57.79 / $183.30
| Facility | | $9.82 | $57.79 | $183.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $11.53 / $22.50
| Professional | | $7.75 | $11.53 | $22.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $7.75 / $8.97
| Professional | | $6.20 | $7.75 | $8.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $42.64 / $77.39
| Facility | | $15.95 | $42.64 | $77.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.85 / $11.28
| Professional | | $5.00 | $6.85 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $20.03 / $79.23
| Facility | | $11.63 | $20.03 | $79.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.92 / $14.50 / $14.50
| Facility | | $12.92 | $14.50 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $28.39 / $64.77
| Facility | | $9.02 | $28.39 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $10.82 / $21.88
| Professional | | $7.36 | $10.82 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.23 / $85.72 / $100.00
| Facility | | $68.23 | $85.72 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $12.92 / $20.10
| Facility | | $10.34 | $12.92 | $20.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.63 / $12.92 / $16.82
| Professional | | $11.63 | $12.92 | $16.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $12.92 / $32.44
| Facility | | $10.34 | $12.92 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $12.23 / $21.40
| Professional | | $6.85 | $12.23 | $21.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.43 / $7.46 / $13.53
| Professional | | $5.43 | $7.46 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.38 / $12.92
| Professional | | $5.04 | $6.38 | $12.92 |