- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.55 / $108.00 / $385.92
| Facility | | $15.55 | $108.00 | $385.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $20.94 / $40.84
| Professional | | $8.88 | $20.94 | $40.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $7.20 / $12.00
| Professional | | $5.76 | $7.20 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $39.97 / $72.23
| Facility | | $15.00 | $39.97 | $72.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.36 / $8.03
| Professional | | $5.00 | $6.36 | $8.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $18.71 / $237.40
| Facility | | $10.80 | $18.71 | $237.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.80 / $19.20
| Professional | | $9.00 | $11.80 | $19.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $16.80 / $16.80
| Facility | | $12.00 | $16.80 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $26.36 / $60.83
| Facility | | $8.39 | $26.36 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $8.86 / $18.07
| Professional | | $6.36 | $8.86 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.64 / $88.55 / $88.55
| Facility | | $69.64 | $88.55 | $88.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $17.47 / $19.85
| Professional | | $10.74 | $17.47 | $19.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $12.00 / $24.49
| Facility | | $9.60 | $12.00 | $24.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.80 / $12.00 / $15.64
| Professional | | $10.80 | $12.00 | $15.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.22 / $87.86 / $196.68
| Facility | | $64.22 | $87.86 | $196.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $12.00 / $30.01
| Facility | | $9.60 | $12.00 | $30.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $9.33 / $17.35
| Professional | | $6.36 | $9.33 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.87 / $9.80
| Professional | | $5.04 | $6.87 | $9.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.92 / $12.00
| Professional | | $4.68 | $5.92 | $12.00 |