- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $53.70 / $112.20
| Facility | | $19.50 | $53.70 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $75.86
| Professional | | $8.91 | $10.96 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $31.62 / $67.61
| Facility | | $6.92 | $31.62 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $9.77 / $26.92
| Professional | | $5.89 | $9.77 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $60.26 / $125.89
| Facility | | $25.12 | $60.26 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.47 / $31.62
| Professional | | $7.41 | $10.47 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $22.39 / $48.98
| Facility | | $8.91 | $22.39 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.02 / $20.42
| Professional | | $7.08 | $12.02 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.49 / $21.38
| Professional | | $10.00 | $13.49 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $13.49 / $29.51
| Professional | | $10.72 | $13.49 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.22 / $16.22
| Professional | | $8.13 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $15.49 / $38.90
| Facility | | $10.72 | $15.49 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.02 / $27.54
| Professional | | $7.08 | $12.02 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $46.77
| Professional | | $46.77 | $46.77 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $13.80 / $22.91
| Professional | | $10.72 | $13.80 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $8.13 / $13.49
| Facility | | $6.03 | $8.13 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.13 / $24.55
| Professional | | $5.62 | $8.13 | $24.55 |