- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $35.29 / $68.56
| Facility | | $11.02 | $35.29 | $68.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $11.60 / $21.23
| Professional | | $10.25 | $11.60 | $21.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.08 / $37.77 / $8,639.91
| Facility | | $29.08 | $37.77 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $17.29 / $43.46
| Facility | | $8.52 | $17.29 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.85
| Professional | | $8.08 | $14.87 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $10.38 / $17.57
| Professional | | $5.97 | $10.38 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.35 / $33.85 / $292.00
| Facility | | $18.35 | $33.85 | $292.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $6.65 / $11.04
| Professional | | $5.50 | $6.65 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $30.37 / $68.56
| Facility | | $10.51 | $30.37 | $68.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $11.77 / $53.61
| Professional | | $9.60 | $11.77 | $53.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.69 / $19.72 / $43.46
| Facility | | $8.69 | $19.72 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.85
| Professional | | $8.08 | $14.87 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.98 / $12.98 / $12.98
| Facility | | $12.98 | $12.98 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $12.98 / $12.98
| Professional | | $8.21 | $12.98 | $12.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $60.00
| Facility | | $60.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $7.79 / $19.47
| Professional | | $3.54 | $7.79 | $19.47 |