- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $24.40 / $42.75
| Facility | | $12.75 | $24.40 | $42.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.70 / $15.00
| Professional | | $6.49 | $10.70 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $39.00
| Facility | | $15.00 | $15.00 | $39.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.65 / $23.88
| Professional | | $4.42 | $7.65 | $23.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $15.00 / $15.00
| Facility | | $9.00 | $15.00 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $15.00 / $15.00
| Professional | | $10.95 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $30.39 / $94.03
| Facility | | $10.49 | $30.39 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $15.34 / $78.94
| Professional | | $9.11 | $15.34 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $19.50 / $332.00
| Facility | | $8.60 | $19.50 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $8.93 / $27.45
| Professional | | $6.86 | $8.93 | $27.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.51 / $16.85
| Professional | | $8.11 | $11.51 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $36.61 / $164.96
| Facility | | $14.26 | $36.61 | $164.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.88 / $26.40
| Professional | | $9.44 | $13.88 | $26.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.00 / $22.03
| Professional | | $6.30 | $9.00 | $22.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.25 / $17.25 / $42.22
| Facility | | $17.25 | $17.25 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $13.61 / $18.03
| Professional | | $10.23 | $13.61 | $18.03 |