- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $53.29 / $119.60
| Facility | | $10.45 | $53.29 | $119.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.28 / $10.50 / $16.57
| Professional | | $8.28 | $10.50 | $16.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $8.28 / $8.64
| Professional | | $6.63 | $8.28 | $8.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.88 / $44.50 / $76.95
| Facility | | $16.88 | $44.50 | $76.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.32 / $11.06
| Professional | | $5.00 | $7.32 | $11.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $21.42 / $70.98
| Facility | | $13.82 | $21.42 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.37 / $13.82 / $20.73
| Professional | | $10.37 | $13.82 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.68 / $13.68 / $13.82
| Facility | | $13.68 | $13.68 | $13.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $27.48 / $61.91
| Facility | | $9.66 | $27.48 | $61.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $8.86 / $21.16
| Professional | | $7.26 | $8.86 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $65.65 / $65.65
| Facility | | $50.00 | $65.65 | $65.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $13.82 / $18.44
| Facility | | $10.50 | $13.82 | $18.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $13.82 / $15.62
| Professional | | $13.82 | $13.82 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.94 / $111.20 / $193.84
| Facility | | $85.94 | $111.20 | $193.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $13.82 / $32.04
| Facility | | $10.50 | $13.82 | $32.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $9.22 / $17.18
| Professional | | $7.32 | $9.22 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $6.91 / $12.57
| Professional | | $5.80 | $6.91 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $5.92 / $13.82
| Professional | | $5.39 | $5.92 | $13.82 |