- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $51.84 / $170.35
| Facility | | $9.09 | $51.84 | $170.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $9.10 / $11.98
| Professional | | $7.19 | $9.10 | $11.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.19 / $8.33
| Professional | | $5.75 | $7.19 | $8.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $38.70 / $71.76
| Facility | | $14.38 | $38.70 | $71.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.35 / $10.78
| Professional | | $5.00 | $6.35 | $10.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $19.17 / $71.81
| Facility | | $11.98 | $19.17 | $71.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $11.80 / $16.77
| Professional | | $8.39 | $11.80 | $16.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $50.98 / $50.98
| Facility | | $11.98 | $50.98 | $50.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $26.17 / $53.52
| Facility | | $8.38 | $26.17 | $53.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $8.85 / $20.23
| Professional | | $6.35 | $8.85 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $80.00
| Facility | | $60.00 | $60.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $11.98 / $14.38
| Facility | | $9.82 | $11.98 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $11.98 / $14.85
| Professional | | $10.78 | $11.98 | $14.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $12.06 / $30.01
| Facility | | $10.18 | $12.06 | $30.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $9.22 / $17.32
| Professional | | $6.35 | $9.22 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.86 / $10.31
| Professional | | $5.03 | $6.86 | $10.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.92 / $11.98
| Professional | | $4.67 | $5.92 | $11.98 |