- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.92 / $34.21 / $140.22
| Facility | | $11.92 | $34.21 | $140.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.74 / $15.76
| Professional | | $9.77 | $13.74 | $15.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $9.46 / $10.94
| Professional | | $7.56 | $9.46 | $10.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $50.27 / $92.24
| Facility | | $16.89 | $50.27 | $92.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.35 / $12.61
| Professional | | $5.00 | $8.35 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $23.64 / $53.92
| Facility | | $15.76 | $23.64 | $53.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $15.62 / $23.64
| Professional | | $11.16 | $15.62 | $23.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.44 / $15.44 / $15.76
| Facility | | $15.44 | $15.44 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $34.61 / $79.34
| Facility | | $11.02 | $34.61 | $79.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $11.55 / $26.81
| Professional | | $8.35 | $11.55 | $26.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $113.63 / $165.00
| Facility | | $65.00 | $113.63 | $165.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $23.14 / $26.29
| Professional | | $14.18 | $23.14 | $26.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $15.76 / $21.57
| Facility | | $11.82 | $15.76 | $21.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $15.76 / $20.54
| Professional | | $14.18 | $15.76 | $20.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.01 / $627.00 / $811.44
| Facility | | $512.01 | $627.00 | $811.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $15.76 / $37.83
| Facility | | $12.29 | $15.76 | $37.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $12.12 / $22.78
| Professional | | $8.35 | $12.12 | $22.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $9.02 / $12.87
| Professional | | $6.62 | $9.02 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $7.78 / $15.76
| Professional | | $6.15 | $7.78 | $15.76 |