- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $53.70 / $223.87
| Facility | | $9.12 | $53.70 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.55 / $16.22
| Professional | | $7.08 | $9.55 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.41 / $18.62
| Professional | | $5.75 | $7.41 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $37.15 / $69.18
| Facility | | $13.18 | $37.15 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.61 / $12.02
| Professional | | $5.01 | $6.61 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $17.78 / $72.44
| Facility | | $10.96 | $17.78 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $12.02 / $19.05
| Professional | | $8.32 | $12.02 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $51.29 / $51.29
| Facility | | $12.02 | $51.29 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $24.55 / $60.26
| Facility | | $10.72 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.51 / $20.42
| Professional | | $6.31 | $8.51 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $12.02 / $70.79
| Facility | | $9.12 | $12.02 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.72 / $15.49
| Professional | | $7.08 | $10.72 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $33.11
| Professional | | $8.91 | $10.00 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $12.02 / $35.48
| Facility | | $9.77 | $12.02 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.91 / $20.42
| Professional | | $6.76 | $8.91 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $7.24 / $12.02
| Facility | | $4.27 | $7.24 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $14.45
| Professional | | $5.01 | $7.08 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $12.02
| Professional | | $4.68 | $4.68 | $12.02 |