- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $21.38 / $61.66
| Facility | | $8.13 | $21.38 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $36.31
| Professional | | $5.01 | $7.08 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $11.22 / $60.26
| Facility | | $7.41 | $11.22 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $8.13 / $16.98
| Professional | | $4.17 | $8.13 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $19.95 / $32.36
| Facility | | $16.22 | $19.95 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $10.23
| Professional | | $7.59 | $7.59 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $12.88 / $30.90
| Facility | | $6.31 | $12.88 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.00 / $13.49
| Professional | | $6.03 | $10.00 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $3,630.78 / $9,772.37
| Facility | | $10.47 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $13.80
| Professional | | $11.75 | $11.75 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $24.55
| Professional | | $8.13 | $8.13 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $10.00 / $100.00
| Facility | | $9.55 | $10.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $11.22 / $60.26
| Facility | | $7.41 | $11.22 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $8.13 / $16.98
| Professional | | $4.17 | $8.13 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $8.13 / $13.18
| Facility | | $4.57 | $8.13 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.76 / $19.05
| Professional | | $3.98 | $6.76 | $19.05 |