- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $23.68 / $80.69
| Facility | | $9.17 | $23.68 | $80.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $9.73 / $12.61
| Professional | | $8.02 | $9.73 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $10.80 / $28.08
| Facility | | $10.80 | $10.80 | $28.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $6.53 / $24.39
| Professional | | $5.16 | $6.53 | $24.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $10.80 / $10.80
| Facility | | $6.48 | $10.80 | $10.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $10.80 / $10.80
| Professional | | $7.88 | $10.80 | $10.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $21.90 / $110.81
| Facility | | $7.55 | $21.90 | $110.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $12.05 / $69.77
| Professional | | $8.02 | $12.05 | $69.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $15.12 / $332.00
| Facility | | $8.60 | $15.12 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.48 / $19.76
| Professional | | $4.94 | $6.48 | $19.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $10.80 / $10.80
| Facility | | $10.80 | $10.80 | $10.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $10.80 / $13.93
| Professional | | $9.52 | $10.80 | $13.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.13 / $23.10 / $50.74
| Facility | | $7.13 | $23.10 | $50.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $26.39 / $145.28
| Facility | | $13.12 | $26.39 | $145.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $14.85 / $27.00
| Professional | | $8.67 | $14.85 | $27.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Facility | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $6.48 / $15.86
| Professional | | $3.82 | $6.48 | $15.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $12.42 / $39.81
| Facility | | $12.42 | $12.42 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $11.99 / $14.35
| Professional | | $9.52 | $11.99 | $14.35 |