- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.30 / $26.67 / $59.96
| Professional | | $20.30 | $26.67 | $59.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $71.15 / $128.59
| Professional | | $10.94 | $71.15 | $128.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.51 / $101.71 / $144.37
| Facility | | $89.51 | $101.71 | $144.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $37.65 / $83.58
| Professional | | $13.44 | $37.65 | $83.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.29 / $32.46 / $84.39
| Facility | | $24.29 | $32.46 | $84.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.29 / $36.29 / $94.50
| Facility | | $24.29 | $36.29 | $94.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.89 / $30.66 / $214.00
| Professional | | $18.89 | $30.66 | $214.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $50.31 / $85.00
| Professional | | $7.18 | $50.31 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.29 / $32.46 / $84.39
| Facility | | $24.29 | $32.46 | $84.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.20 / $67.09 / $94.12
| Professional | | $52.20 | $67.09 | $94.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.70 / $54.70 / $131.69
| Facility | | $54.70 | $54.70 | $131.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $128.55 / $214.00
| Professional | | $14.18 | $128.55 | $214.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.23 / $15.23 / $55.01
| Professional | | $15.23 | $15.23 | $55.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.23 / $15.23 / $146.93
| Professional | | $15.23 | $15.23 | $146.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $25.71 / $74.04
| Professional | | $16.80 | $25.71 | $74.04 |