- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $22.47 / $56.83
| Facility | | $11.18 | $22.47 | $56.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $9.83 / $11.18
| Professional | | $8.88 | $9.83 | $11.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $11.84 / $57.66
| Facility | | $11.84 | $11.84 | $57.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $5.85 / $7.16
| Professional | | $5.85 | $5.85 | $7.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $53.62 / $80.27
| Professional | | $35.09 | $53.62 | $80.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $28.98 / $60.38
| Facility | | $8.27 | $28.98 | $60.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $7.98 / $13.63
| Professional | | $6.71 | $7.98 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.21 / $14.80 / $17.52
| Professional | | $14.21 | $14.80 | $17.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $12.81 / $12.81
| Facility | | $9.93 | $12.81 | $12.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.28 / $19.00 / $30.00
| Professional | | $16.28 | $19.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.21 / $15.78 / $4,071.00
| Facility | | $9.21 | $15.78 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.21 / $15.78 / $4,071.00
| Professional | | $9.21 | $15.78 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.89 / $11.84 / $20.36
| Facility | | $7.89 | $11.84 | $20.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $6.99 / $11.84
| Professional | | $4.97 | $6.99 | $11.84 |