- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $34.67
| Facility | | $5.01 | $7.08 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $10.47 / $25.12
| Professional | | $3.02 | $10.47 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.02 / $18.62
| Professional | | $10.23 | $12.02 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $35.48 / $64.57
| Facility | | $15.85 | $35.48 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $12.30
| Professional | | $12.30 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $12.30
| Facility | | $12.30 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $8.32
| Facility | | $8.32 | $8.32 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $12.59 / $15.85
| Professional | | $11.75 | $12.59 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $21.38
| Facility | | $5.01 | $7.08 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $10.96 / $28.18
| Professional | | $3.02 | $10.96 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $8.32 / $14.45
| Facility | | $5.01 | $8.32 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.30 / $17.78
| Professional | | $10.00 | $12.30 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $11.22 / $14.13
| Professional | | $9.12 | $11.22 | $14.13 |