- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $44.72 / $104.41
| Facility | | $9.80 | $44.72 | $104.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $10.91 / $67.70
| Professional | | $7.50 | $10.91 | $67.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $36.18 / $293.00
| Facility | | $16.44 | $36.18 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.75 / $23.46
| Professional | | $6.00 | $7.75 | $23.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.77 / $68.79 / $120.71
| Facility | | $25.77 | $68.79 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $72.00
| Professional | | $5.75 | $8.22 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $19.70 / $49.09
| Facility | | $9.75 | $19.70 | $49.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $16.93 / $24.61
| Professional | | $8.78 | $16.93 | $24.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $15.00 / $24.00
| Professional | | $10.10 | $15.00 | $24.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $32.70
| Professional | | $12.00 | $15.00 | $32.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.03 / $71.25 / $71.25
| Facility | | $41.03 | $71.25 | $71.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $7.50 / $7.50
| Professional | | $7.50 | $7.50 | $7.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $15.00 / $37.50
| Facility | | $9.94 | $15.00 | $37.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $15.00 / $26.28
| Professional | | $8.86 | $15.00 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.65 / $52.65 / $52.65
| Professional | | $52.65 | $52.65 | $52.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $21.00
| Professional | | $12.00 | $15.00 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $7.22 / $24.11
| Professional | | $6.30 | $7.22 | $24.11 |