- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.16 / $58.72 / $263.33
| Facility | | $9.16 | $58.72 | $263.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $10.50 / $21.48
| Professional | | $7.23 | $10.50 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $5.78 / $12.05
| Professional | | $4.22 | $5.78 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $39.77 / $72.18
| Facility | | $14.88 | $39.77 | $72.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $9.34 / $12.47
| Professional | | $6.63 | $9.34 | $12.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $18.68 / $72.17
| Facility | | $12.05 | $18.68 | $72.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $16.87 / $31.13
| Professional | | $9.03 | $16.87 | $31.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $11.81 / $12.05
| Facility | | $11.81 | $11.81 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $26.47 / $60.83
| Facility | | $8.42 | $26.47 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $16.92 / $52.22
| Professional | | $9.36 | $16.92 | $52.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.66 / $133.86 / $133.86
| Facility | | $68.66 | $133.86 | $133.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.35 / $16.98 / $23.84
| Facility | | $13.35 | $16.98 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $12.05 / $37.90
| Professional | | $10.24 | $12.05 | $37.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $17.01 / $33.83
| Facility | | $13.03 | $17.01 | $33.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $16.38 / $28.17
| Professional | | $9.27 | $16.38 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.89 / $8.90
| Professional | | $5.05 | $6.89 | $8.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $5.95 / $12.05
| Professional | | $4.70 | $5.95 | $12.05 |