- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $49.88 / $113.02
| Facility | | $11.71 | $49.88 | $113.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.45 / $13.88
| Professional | | $7.40 | $10.45 | $13.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.83 / $55.62 / $8,639.91
| Facility | | $42.83 | $55.62 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $11.28 / $11.28
| Professional | | $11.28 | $11.28 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $18.79 / $42.93
| Facility | | $9.51 | $18.79 | $42.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $14.81 / $21.71
| Professional | | $5.28 | $14.81 | $21.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $8.52 / $19.57
| Professional | | $6.65 | $8.52 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $23.26 / $93.72
| Facility | | $19.05 | $23.26 | $93.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $8.00 / $8.68
| Professional | | $8.00 | $8.00 | $8.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $37.51 / $66.23
| Facility | | $12.29 | $37.51 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.53 / $59.72
| Professional | | $7.40 | $10.53 | $59.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.40 / $18.80 / $47.81
| Facility | | $9.40 | $18.80 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $14.81 / $21.17
| Professional | | $5.28 | $14.81 | $21.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $14.46 / $14.46
| Facility | | $14.46 | $14.46 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $14.46 / $14.46
| Professional | | $12.09 | $14.46 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $8.68 / $24.05
| Professional | | $5.58 | $8.68 | $24.05 |