- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $38.31 / $128.66
| Facility | | $16.23 | $38.31 | $128.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $17.87 / $32.47
| Professional | | $13.54 | $17.87 | $32.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.07 / $75.53 / $142.66
| Facility | | $27.07 | $75.53 | $142.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.35 / $24.09
| Professional | | $5.00 | $14.35 | $24.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $27.07 / $27.07
| Facility | | $9.93 | $27.07 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $36.89 / $108.94
| Facility | | $10.28 | $36.89 | $108.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $13.69 / $39.24
| Professional | | $5.76 | $13.69 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $128.58 / $128.58
| Facility | | $55.00 | $128.58 | $128.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $27.07 / $29.03
| Facility | | $13.54 | $27.07 | $29.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.94 / $27.07 / $27.07
| Professional | | $11.94 | $27.07 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $27.07 / $48.93
| Facility | | $11.84 | $27.07 | $48.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $11.13 / $27.07
| Professional | | $5.76 | $11.13 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $11.37 / $27.07
| Facility | | $9.75 | $11.37 | $27.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $11.37 / $16.23
| Professional | | $4.94 | $11.37 | $16.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $10.83 / $27.07
| Professional | | $10.56 | $10.83 | $27.07 |