- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.32 / $44.59 / $145.94
| Facility | | $18.32 | $44.59 | $145.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $20.18 / $43.28
| Professional | | $10.42 | $20.18 | $43.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $15.27 / $15.91
| Professional | | $12.22 | $15.27 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.50 / $79.91 / $143.36
| Facility | | $28.50 | $79.91 | $143.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $13.49 / $24.94
| Professional | | $5.00 | $13.49 | $24.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $38.18 / $85.33
| Facility | | $22.91 | $38.18 | $85.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.82 / $22.91 / $35.63
| Professional | | $17.82 | $22.91 | $35.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.72 / $26.72 / $26.72
| Facility | | $26.72 | $26.72 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $32.93 / $113.22
| Facility | | $11.96 | $32.93 | $113.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $14.38 / $48.70
| Professional | | $10.42 | $14.38 | $48.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.64 / $120.89 / $120.89
| Facility | | $60.64 | $120.89 | $120.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $25.45 / $42.39
| Professional | | $22.91 | $25.45 | $42.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $25.45 / $28.00
| Facility | | $14.25 | $25.45 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.63 / $25.45 / $60.64
| Professional | | $21.63 | $25.45 | $60.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $25.45 / $33.09
| Facility | | $12.68 | $25.45 | $33.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $24.18 / $26.85
| Professional | | $13.07 | $24.18 | $26.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $10.69 / $15.27
| Professional | | $10.69 | $10.69 | $15.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $10.18 / $25.45
| Professional | | $9.93 | $10.18 | $25.45 |