- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $19.67 / $34.51
| Facility | | $11.50 | $19.67 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $10.92 / $18.16
| Professional | | $8.99 | $10.92 | $18.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $12.11 / $31.49
| Facility | | $12.11 | $12.11 | $31.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.26 / $25.73
| Professional | | $5.36 | $7.26 | $25.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.27 / $12.11 / $12.11
| Facility | | $7.27 | $12.11 | $12.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.84 / $12.11 / $12.11
| Professional | | $8.84 | $12.11 | $12.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.47 / $25.58 / $125.82
| Facility | | $8.47 | $25.58 | $125.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.52 / $78.94
| Professional | | $9.11 | $13.52 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $15.74 / $332.00
| Facility | | $7.60 | $15.74 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.27 / $22.16
| Professional | | $4.84 | $7.27 | $22.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $11.50 / $14.56
| Professional | | $7.18 | $11.50 | $14.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $164.96
| Facility | | $13.73 | $29.81 | $164.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $16.64 / $31.96
| Professional | | $9.69 | $16.64 | $31.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.27 / $17.79
| Professional | | $5.09 | $7.27 | $17.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.93 / $13.93 / $29.29
| Facility | | $13.93 | $13.93 | $29.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $11.63 / $29.29
| Professional | | $7.18 | $11.63 | $29.29 |