- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $27.54 / $56.23
| Facility | | $8.71 | $27.54 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.91 / $46.77
| Professional | | $7.08 | $8.91 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $5.13
| Professional | | $5.13 | $5.13 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $72.44 / $5,011.87
| Facility | | $54.95 | $72.44 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $9.77
| Professional | | $8.13 | $8.13 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $15.85 / $35.48
| Facility | | $6.92 | $15.85 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $11.48 / $18.20
| Professional | | $6.31 | $11.48 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $10.23 / $14.79
| Professional | | $4.90 | $10.23 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.23
| Facility | | $10.23 | $10.23 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.48 / $17.78
| Professional | | $10.23 | $11.48 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $26.30 / $47.86
| Facility | | $14.45 | $26.30 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $8.51
| Professional | | $6.17 | $6.17 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $26.92 / $56.23
| Facility | | $9.55 | $26.92 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $42.66
| Professional | | $7.08 | $10.00 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $10.23 / $15.85
| Facility | | $9.77 | $10.23 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $12.02 / $15.85
| Professional | | $9.77 | $12.02 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $10.23 / $12.30
| Facility | | $6.92 | $10.23 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.59 / $17.78
| Professional | | $4.68 | $7.59 | $17.78 |