- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $37.32 / $95.70
| Facility | | $4.51 | $37.32 | $95.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $5.13 / $9.46
| Professional | | $3.58 | $5.13 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.46 / $4.01
| Professional | | $2.02 | $3.46 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $19.04 / $34.74
| Facility | | $7.15 | $19.04 | $34.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $5.00 / $5.50
| Professional | | $3.17 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $8.94 / $35.38
| Facility | | $5.48 | $8.94 | $35.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $5.66 / $8.66
| Professional | | $3.74 | $5.66 | $8.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $5.65 / $5.77
| Facility | | $5.65 | $5.65 | $5.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $12.68 / $29.10
| Facility | | $4.03 | $12.68 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.15 / $9.85
| Professional | | $3.06 | $4.15 | $9.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $5.77 / $8.71
| Facility | | $4.62 | $5.77 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.77 / $7.51
| Professional | | $5.19 | $5.77 | $7.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.63 / $186.97 / $1,206.61
| Facility | | $136.63 | $186.97 | $1,206.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $5.77 / $15.93
| Facility | | $4.62 | $5.77 | $15.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.44 / $8.34
| Professional | | $3.06 | $4.44 | $8.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.31 / $4.26
| Professional | | $2.42 | $3.31 | $4.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.85 / $5.77
| Professional | | $2.25 | $2.85 | $5.77 |