- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $50.12 / $229.09
| Facility | | $8.71 | $50.12 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $7.59 / $32.36
| Professional | | $3.98 | $7.59 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.63 / $9.55
| Professional | | $3.09 | $3.63 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $12.02 / $25.70
| Facility | | $4.47 | $12.02 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.47 / $15.14
| Professional | | $2.57 | $4.47 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $39.81 / $74.13
| Facility | | $11.75 | $39.81 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.89 / $14.79
| Professional | | $4.07 | $5.89 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $8.71 / $19.05
| Facility | | $3.47 | $8.71 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $6.17 / $8.91
| Professional | | $3.39 | $6.17 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.13 / $8.32
| Professional | | $4.47 | $5.13 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.13 / $11.75
| Professional | | $4.17 | $5.13 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $6.17
| Professional | | $6.17 | $6.17 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $6.17 / $15.49
| Facility | | $4.27 | $6.17 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.17 / $11.75
| Professional | | $3.47 | $6.17 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $18.20
| Professional | | $18.20 | $18.20 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.25 / $8.71
| Professional | | $4.17 | $5.25 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $3.09 / $5.13
| Facility | | $2.34 | $3.09 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.37 / $10.47
| Professional | | $3.09 | $4.37 | $10.47 |