- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.85 / $36.34 / $400.04
| Facility | | $9.85 | $36.34 | $400.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $11.82 / $113.60
| Professional | | $7.82 | $11.82 | $113.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $7.82 / $9.03
| Professional | | $6.26 | $7.82 | $9.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $41.44 / $73.09
| Facility | | $14.72 | $41.44 | $73.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.91 / $11.37
| Professional | | $5.00 | $6.91 | $11.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $20.20 / $48.97
| Facility | | $13.03 | $20.20 | $48.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $13.03 / $13.03
| Facility | | $9.42 | $13.03 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $28.63 / $66.12
| Facility | | $9.11 | $28.63 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $9.57 / $21.88
| Professional | | $6.91 | $9.57 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.30 / $158.04 / $158.04
| Facility | | $124.30 | $158.04 | $158.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.03 / $16.29
| Facility | | $10.29 | $13.03 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $13.03 / $16.98
| Professional | | $11.73 | $13.03 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.03 / $30.58
| Facility | | $10.29 | $13.03 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.02 / $18.66
| Professional | | $6.91 | $10.02 | $18.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.46 / $10.64
| Professional | | $5.47 | $7.46 | $10.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $6.43 / $13.03
| Professional | | $5.08 | $6.43 | $13.03 |