- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $32.39 / $58.05
| Facility | | $10.68 | $32.39 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $3.54 / $20.37
| Professional | | $3.38 | $3.54 | $20.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.37 / $20.37 / $52.96
| Facility | | $20.37 | $20.37 | $52.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $8.15 / $25.11
| Professional | | $2.29 | $8.15 | $25.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $20.37 / $20.37
| Facility | | $12.22 | $20.37 | $20.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $20.37 / $20.37
| Professional | | $14.87 | $20.37 | $20.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $40.99 / $54.32
| Facility | | $14.23 | $40.99 | $54.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $12.36 / $98.18
| Professional | | $3.50 | $12.36 | $98.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $26.48 / $332.00
| Facility | | $3.00 | $26.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $12.02 / $37.28
| Professional | | $7.46 | $12.02 | $37.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.80 / $21.36
| Professional | | $3.94 | $5.80 | $21.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $49.38 / $223.89
| Facility | | $14.23 | $49.38 | $223.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $7.01 / $31.57
| Professional | | $3.56 | $7.01 | $31.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.56 / $30.87
| Professional | | $5.96 | $8.56 | $30.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $23.42 / $23.42
| Facility | | $11.84 | $23.42 | $23.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.80 / $24.48
| Professional | | $3.94 | $5.80 | $24.48 |