- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $51.52 / $74.58
| Facility | | $12.51 | $51.52 | $74.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $13.12 / $40.04
| Professional | | $11.92 | $13.12 | $40.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.26 / $96.43 / $8,639.91
| Facility | | $74.26 | $96.43 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Professional | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $19.61 / $48.90
| Facility | | $9.67 | $19.61 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.81
| Professional | | $9.16 | $16.93 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $11.78 / $19.93
| Professional | | $6.77 | $11.78 | $19.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.62 / $29.62 / $114.60
| Facility | | $29.62 | $29.62 | $114.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $8.83 / $8.83
| Professional | | $8.83 | $8.83 | $8.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $41.78 / $64.97
| Facility | | $12.51 | $41.78 | $64.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.51 / $60.79
| Professional | | $10.60 | $12.51 | $60.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $22.36 / $48.90
| Facility | | $9.86 | $22.36 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.81
| Professional | | $9.16 | $16.93 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $14.72 / $14.72
| Facility | | $14.72 | $14.72 | $14.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $14.72 / $20.95
| Professional | | $12.95 | $14.72 | $20.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $9.57 / $26.94
| Professional | | $6.18 | $9.57 | $26.94 |