- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $24.28 / $52.51
| Facility | | $7.23 | $24.28 | $52.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.79 / $15.58
| Professional | | $7.23 | $7.79 | $15.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.24 / $53.55 / $8,639.91
| Facility | | $41.24 | $53.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $6.97 / $6.97
| Professional | | $6.97 | $6.97 | $6.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.87 / $11.88 / $29.34
| Facility | | $5.87 | $11.88 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.59 / $10.33 / $15.66
| Professional | | $5.59 | $10.33 | $15.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.11 / $7.14 / $12.09
| Professional | | $4.11 | $7.14 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $20.72 / $47.55
| Facility | | $12.63 | $20.72 | $47.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $5.36 / $8.00
| Professional | | $5.36 | $5.36 | $8.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $24.28 / $45.36
| Facility | | $7.23 | $24.28 | $45.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $7.79 / $36.88
| Professional | | $6.43 | $7.79 | $36.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $13.56 / $29.34
| Facility | | $5.97 | $13.56 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.59 / $10.33 / $15.66
| Professional | | $5.59 | $10.33 | $15.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $8.93 / $8.93
| Facility | | $8.93 | $8.93 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $8.93 / $11.65
| Professional | | $7.86 | $8.93 | $11.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.37 / $15.54
| Professional | | $4.01 | $5.37 | $15.54 |