- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $22.36 / $64.68
| Facility | | $9.06 | $22.36 | $64.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.71 / $13.18
| Professional | | $7.19 | $10.71 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.33 / $9.19
| Professional | | $5.75 | $8.33 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.98 / $39.93 / $70.08
| Facility | | $14.98 | $39.93 | $70.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.35 / $10.47
| Professional | | $5.00 | $6.35 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $18.57 / $70.98
| Facility | | $11.98 | $18.57 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $11.80 / $17.97
| Professional | | $8.99 | $11.80 | $17.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $11.98
| Facility | | $11.98 | $11.98 | $11.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $26.17 / $53.52
| Facility | | $8.38 | $26.17 | $53.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $8.85 / $20.23
| Professional | | $6.35 | $8.85 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $66.00 / $82.00
| Facility | | $50.00 | $66.00 | $82.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $17.79
| Facility | | $9.58 | $11.98 | $17.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $15.62
| Professional | | $11.98 | $11.98 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.64 / $177.72 / $582.55
| Facility | | $114.64 | $177.72 | $582.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $29.89
| Facility | | $9.58 | $11.98 | $29.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $9.22 / $17.32
| Professional | | $6.35 | $9.22 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.90 / $11.98
| Professional | | $5.03 | $6.90 | $11.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.92 / $11.98
| Professional | | $4.67 | $5.92 | $11.98 |