- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $41.92 / $103.52
| Facility | | $9.80 | $41.92 | $103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $11.05 / $75.19
| Professional | | $8.05 | $11.05 | $75.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $38.83 / $293.00
| Facility | | $17.64 | $38.83 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $7.75 / $24.15
| Professional | | $6.44 | $7.75 | $24.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.48 / $69.00 / $120.71
| Facility | | $26.48 | $69.00 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $32.43
| Professional | | $5.75 | $8.22 | $32.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $21.15 / $52.72
| Facility | | $10.47 | $21.15 | $52.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $18.59 / $24.78
| Professional | | $8.78 | $18.59 | $24.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $16.10 / $25.76
| Professional | | $10.10 | $16.10 | $25.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.10 / $33.33
| Professional | | $12.88 | $16.10 | $33.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.58 / $185.11 / $185.11
| Facility | | $145.58 | $185.11 | $185.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $8.05 / $8.05
| Professional | | $8.05 | $8.05 | $8.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $16.10 / $40.44
| Facility | | $10.55 | $16.10 | $40.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.50 / $26.28
| Professional | | $8.91 | $15.50 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.51 / $56.51 / $56.51
| Professional | | $56.51 | $56.51 | $56.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.10 / $22.54
| Professional | | $12.88 | $16.10 | $22.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $7.22 / $24.05
| Professional | | $6.76 | $7.22 | $24.05 |