- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.85 / $16.61 / $41.79
| Facility | | $6.85 | $16.61 | $41.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $7.79 / $12.48
| Professional | | $4.32 | $7.79 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $8.93 / $23.22
| Facility | | $8.93 | $8.93 | $23.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.62 / $15.71
| Professional | | $2.94 | $4.62 | $15.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $8.93 / $8.93
| Facility | | $5.36 | $8.93 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $8.93 / $8.93
| Professional | | $6.52 | $8.93 | $8.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.24 / $18.69 / $62.53
| Facility | | $6.24 | $18.69 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $9.86 / $56.92
| Professional | | $6.72 | $9.86 | $56.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $11.61 / $332.00
| Facility | | $5.00 | $11.61 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.36 / $16.34
| Professional | | $4.08 | $5.36 | $16.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $8.52 / $10.73
| Professional | | $7.87 | $8.52 | $10.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.61 / $43.61 / $43.61
| Facility | | $43.61 | $43.61 | $43.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $22.14 / $121.73
| Facility | | $11.00 | $22.14 | $121.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $8.06 / $18.39
| Professional | | $5.48 | $8.06 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $5.25 / $13.12
| Professional | | $3.75 | $5.25 | $13.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $10.27 / $32.90
| Facility | | $10.27 | $10.27 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $9.66 / $11.86
| Professional | | $7.87 | $9.66 | $11.86 |