- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $40.34 / $69.90
| Facility | | $8.17 | $40.34 | $69.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $9.42 / $10.81
| Professional | | $6.49 | $9.42 | $10.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $6.49 / $7.51
| Professional | | $5.19 | $6.49 | $7.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $35.67 / $65.08
| Facility | | $13.40 | $35.67 | $65.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.73 / $9.61
| Professional | | $5.00 | $5.73 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $12.43 / $20.00
| Facility | | $10.81 | $12.43 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $10.76 / $16.85
| Professional | | $7.57 | $10.76 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $15.13 / $15.13
| Facility | | $10.81 | $15.13 | $15.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $23.76 / $54.22
| Facility | | $7.55 | $23.76 | $54.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $7.94 / $18.05
| Professional | | $5.73 | $7.94 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.92 / $115.47 / $144.00
| Facility | | $91.92 | $115.47 | $144.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $10.81 / $15.91
| Facility | | $8.65 | $10.81 | $15.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $10.81 / $14.09
| Professional | | $9.73 | $10.81 | $14.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $10.81 / $29.86
| Facility | | $8.65 | $10.81 | $29.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $8.31 / $15.49
| Professional | | $5.73 | $8.31 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $6.35 / $10.50
| Professional | | $4.54 | $6.35 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $5.34 / $10.81
| Professional | | $4.22 | $5.34 | $10.81 |