- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $30.29 / $52.33
| Facility | | $14.14 | $30.29 | $52.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.19 / $14.80 / $18.36
| Professional | | $12.19 | $14.80 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.36 / $18.36 / $47.74
| Facility | | $18.36 | $18.36 | $47.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.02 / $34.88
| Professional | | $7.71 | $10.02 | $34.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $18.36 / $18.36
| Facility | | $11.02 | $18.36 | $18.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $18.36 / $18.36
| Professional | | $13.40 | $18.36 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $38.77 / $167.73
| Facility | | $12.83 | $38.77 | $167.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $18.63 / $104.67
| Professional | | $12.15 | $18.63 | $104.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $23.87 / $332.00
| Facility | | $11.10 | $23.87 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $10.92 / $33.60
| Professional | | $8.39 | $10.92 | $33.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Facility | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $15.61 / $20.62
| Professional | | $10.10 | $15.61 | $20.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $45.13 / $219.91
| Facility | | $17.89 | $45.13 | $219.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $19.36 / $35.92
| Professional | | $13.05 | $19.36 | $35.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $11.02 / $26.97
| Professional | | $7.71 | $11.02 | $26.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.11 / $21.11 / $44.90
| Facility | | $21.11 | $21.11 | $44.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $16.18 / $27.97
| Professional | | $11.01 | $16.18 | $27.97 |