- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $23.27 / $38.79
| Facility | | $11.57 | $23.27 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $11.57 / $14.97
| Professional | | $6.49 | $11.57 | $14.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $13.61 / $35.39
| Facility | | $13.61 | $13.61 | $35.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.04 / $22.91
| Professional | | $4.42 | $7.04 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $13.61 / $13.61
| Facility | | $8.17 | $13.61 | $13.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $13.61 / $13.61
| Professional | | $9.94 | $13.61 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $27.56 / $94.03
| Facility | | $9.51 | $27.56 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.88 / $77.12
| Professional | | $8.89 | $13.88 | $77.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $19.05 / $332.00
| Facility | | $11.00 | $19.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.17 / $24.91
| Professional | | $6.22 | $8.17 | $24.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $13.61 / $13.61
| Facility | | $13.61 | $13.61 | $13.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $13.61 / $16.36
| Professional | | $10.24 | $13.61 | $16.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $45.64 / $51.53
| Facility | | $11.28 | $45.64 | $51.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $160.97
| Facility | | $13.73 | $33.20 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.61 / $26.40
| Professional | | $9.44 | $13.61 | $26.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.49 / $19.98
| Professional | | $5.72 | $7.49 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.65 / $15.65 / $42.22
| Facility | | $15.65 | $15.65 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $13.61 / $17.55
| Professional | | $10.24 | $13.61 | $17.55 |