- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $21.81 / $40.50
| Facility | | $9.65 | $21.81 | $40.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $10.59 / $12.46
| Professional | | $4.76 | $10.59 | $12.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $12.46 / $32.40
| Facility | | $12.46 | $12.46 | $32.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $6.15 / $19.93
| Professional | | $3.24 | $6.15 | $19.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $12.46 / $12.46
| Facility | | $7.48 | $12.46 | $12.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $12.46 / $12.46
| Professional | | $9.10 | $12.46 | $12.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $26.33 / $68.95
| Facility | | $10.61 | $26.33 | $68.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.88 / $80.78
| Professional | | $9.58 | $13.88 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $17.47 / $332.00
| Facility | | $10.10 | $17.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $7.48 / $22.80
| Professional | | $4.98 | $7.48 | $22.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $12.46 / $16.54
| Professional | | $10.59 | $12.46 | $16.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $10.02 / $31.23
| Facility | | $10.02 | $10.02 | $31.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $168.83
| Facility | | $13.73 | $30.64 | $168.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.88 / $42.44
| Professional | | $10.00 | $13.88 | $42.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $6.85 / $18.88
| Professional | | $5.23 | $6.85 | $18.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $14.33 / $45.91
| Facility | | $14.33 | $14.33 | $45.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $13.93 / $18.88
| Professional | | $10.99 | $13.93 | $18.88 |