- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $35.43 / $563.97
| Facility | | $10.55 | $35.43 | $563.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $22.16 / $129.72
| Professional | | $10.55 | $22.16 | $129.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $7.82
| Professional | | $7.82 | $7.82 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.73 / $85.35 / $8,639.91
| Facility | | $65.73 | $85.35 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $10.16 / $10.16
| Professional | | $10.16 | $10.16 | $10.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $17.35 / $43.46
| Facility | | $8.57 | $17.35 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.87 / $22.85
| Professional | | $8.23 | $14.87 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.11 / $17.64
| Professional | | $5.99 | $8.11 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.16 / $38.90 / $292.00
| Facility | | $21.16 | $38.90 | $292.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $10.16 / $12.50
| Professional | | $7.82 | $10.16 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.08 / $35.43 / $234.54
| Facility | | $11.08 | $35.43 | $234.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $11.81 / $53.81
| Professional | | $10.09 | $11.81 | $53.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.72 / $19.80 / $43.46
| Facility | | $8.72 | $19.80 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.87 / $22.85
| Professional | | $8.23 | $14.87 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $13.03 / $13.03
| Facility | | $13.03 | $13.03 | $13.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $13.03 / $18.55
| Professional | | $11.47 | $13.03 | $18.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $8.34 / $22.84
| Professional | | $5.47 | $8.34 | $22.84 |