- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.49 / $15.65 / $28.04
| Facility | | $8.49 | $15.65 | $28.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $8.36 / $14.75
| Professional | | $6.63 | $8.36 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $9.84 / $25.58
| Facility | | $9.84 | $9.84 | $25.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.44 / $19.28
| Professional | | $3.94 | $5.44 | $19.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $9.84 / $9.84
| Facility | | $5.90 | $9.84 | $9.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $9.84 / $9.84
| Professional | | $7.18 | $9.84 | $9.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $19.79 / $92.85
| Facility | | $6.88 | $19.79 | $92.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $12.33 / $56.92
| Professional | | $6.86 | $12.33 | $56.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $13.78 / $332.00
| Facility | | $7.00 | $13.78 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $8.69 / $18.01
| Professional | | $4.50 | $8.69 | $18.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $8.36 / $10.32
| Professional | | $5.56 | $8.36 | $10.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $23.84 / $121.73
| Facility | | $11.81 | $23.84 | $121.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $12.33 / $56.92
| Professional | | $4.28 | $12.33 | $56.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $6.22 / $14.06
| Professional | | $4.43 | $6.22 | $14.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $11.32 / $22.63
| Facility | | $11.32 | $11.32 | $22.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $8.36 / $11.83
| Professional | | $5.56 | $8.36 | $11.83 |