- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $37.50 / $78.75
| Facility | | $7.60 | $37.50 | $78.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $6.35 / $12.20
| Professional | | $5.39 | $6.35 | $12.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.88 / $19.54 / $293.00
| Facility | | $8.88 | $19.54 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $5.51 / $17.92
| Professional | | $3.45 | $5.51 | $17.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.61 / $57.94 / $97.40
| Facility | | $18.61 | $57.94 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.19 / $38.88
| Professional | | $4.33 | $6.19 | $38.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $10.65 / $26.53
| Facility | | $5.27 | $10.65 | $26.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $9.50 / $12.39
| Professional | | $4.67 | $9.50 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.10 / $12.96
| Professional | | $6.48 | $8.10 | $12.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.10 / $18.07
| Professional | | $6.48 | $8.10 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.06 / $150.11 / $150.11
| Facility | | $118.06 | $150.11 | $150.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $4.86
| Professional | | $4.86 | $4.86 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $21.50
| Facility | | $6.03 | $8.91 | $21.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $8.10 / $15.02
| Professional | | $4.67 | $8.10 | $15.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.43 / $28.43 / $28.43
| Professional | | $28.43 | $28.43 | $28.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.10 / $11.34
| Professional | | $6.48 | $8.10 | $11.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.16 / $15.74
| Professional | | $3.40 | $4.16 | $15.74 |