- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $33.29 / $53.97
| Facility | | $15.22 | $33.29 | $53.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.29 / $16.00 / $24.58
| Professional | | $13.29 | $16.00 | $24.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $46.54
| Facility | | $17.89 | $17.89 | $46.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $10.82 / $40.40
| Professional | | $8.11 | $10.82 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $17.89 / $17.89
| Facility | | $10.74 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $17.89 / $17.89
| Professional | | $13.07 | $17.89 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $36.03 / $182.74
| Facility | | $12.51 | $36.03 | $182.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $20.09 / $97.70
| Professional | | $13.23 | $20.09 | $97.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $26.85 / $332.00
| Facility | | $16.10 | $26.85 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $10.74 / $32.76
| Professional | | $8.18 | $10.74 | $32.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $17.89 / $23.77
| Professional | | $15.78 | $17.89 | $23.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.15 / $61.87 / $80.80
| Facility | | $53.15 | $61.87 | $80.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.46 / $43.41 / $239.59
| Facility | | $17.46 | $43.41 | $239.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.23 / $24.61 / $37.13
| Professional | | $14.23 | $24.61 | $37.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.74 / $26.85
| Professional | | $7.35 | $10.74 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.58 / $20.58 / $65.94
| Facility | | $20.58 | $20.58 | $65.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $20.10 / $27.14
| Professional | | $15.78 | $20.10 | $27.14 |