- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $37.54 / $165.96
| Facility | | $14.58 | $37.54 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $12.71 / $16.78
| Professional | | $9.05 | $12.71 | $16.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $7.30 / $10.13
| Professional | | $5.11 | $7.30 | $10.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.59 / $42.75 / $81.59
| Facility | | $14.59 | $42.75 | $81.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.73 / $14.01
| Professional | | $5.00 | $7.73 | $14.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $21.74 / $100.84
| Facility | | $13.13 | $21.74 | $100.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $14.58 / $21.89
| Professional | | $10.94 | $14.58 | $21.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.59 / $16.21 / $16.21
| Facility | | $14.59 | $16.21 | $16.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $32.04 / $74.04
| Facility | | $10.19 | $32.04 | $74.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $10.89 / $22.20
| Professional | | $7.73 | $10.89 | $22.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $69.56 / $69.56
| Facility | | $50.00 | $69.56 | $69.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $14.59 / $21.87
| Facility | | $10.94 | $14.59 | $21.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.40 / $14.59 / $19.01
| Professional | | $12.40 | $14.59 | $19.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.38 / $14.59 / $33.90
| Facility | | $11.38 | $14.59 | $33.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $11.23 / $20.88
| Professional | | $7.73 | $11.23 | $20.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.40 / $11.90
| Professional | | $6.13 | $8.40 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.20 / $14.59
| Professional | | $5.69 | $7.20 | $14.59 |