- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.82 / $35.04 / $55.39
| Facility | | $15.82 | $35.04 | $55.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.64 / $16.37 / $18.37
| Professional | | $13.64 | $16.37 | $18.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.37 / $18.37 / $47.76
| Facility | | $18.37 | $18.37 | $47.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $11.11 / $41.46
| Professional | | $8.76 | $11.11 | $41.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $18.37 / $18.37
| Facility | | $11.02 | $18.37 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $18.37 / $18.37
| Professional | | $13.41 | $18.37 | $18.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $38.81 / $188.72
| Facility | | $12.83 | $38.81 | $188.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $20.82 / $127.76
| Professional | | $13.66 | $20.82 | $127.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.10 / $28.96 / $332.00
| Facility | | $18.10 | $28.96 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.02 / $33.61
| Professional | | $7.35 | $11.02 | $33.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.61 / $18.37 / $24.38
| Professional | | $15.61 | $18.37 | $24.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.33 / $37.00 / $71.59
| Facility | | $31.33 | $37.00 | $71.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $45.13 / $247.44
| Facility | | $17.91 | $45.13 | $247.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.63 / $25.25 / $40.18
| Professional | | $14.63 | $25.25 | $40.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.02 / $27.56
| Professional | | $7.72 | $11.02 | $27.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.13 / $21.13 / $67.64
| Facility | | $21.13 | $21.13 | $67.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.19 / $20.53 / $32.20
| Professional | | $16.19 | $20.53 | $32.20 |