- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $13.37 / $25.30
| Facility | | $9.84 | $13.37 | $25.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $12.82 / $19.67
| Professional | | $10.08 | $12.82 | $19.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $10.13 / $13.90
| Professional | | $8.86 | $10.13 | $13.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $13.18 / $21.01
| Facility | | $12.23 | $13.18 | $21.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.25 / $12.23 / $18.39
| Professional | | $9.25 | $12.23 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $13.93 / $20.27
| Professional | | $11.14 | $13.93 | $20.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.03 / $13.03
| Facility | | $10.29 | $13.03 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $19.14
| Facility | | $19.14 | $19.14 | $19.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $16.50 / $26.41
| Professional | | $12.38 | $16.50 | $26.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $139.38 / $147.47
| Facility | | $80.00 | $139.38 | $147.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.96 / $199.96 / $199.96
| Professional | | $199.96 | $199.96 | $199.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $14.06 / $24.21
| Facility | | $11.03 | $14.06 | $24.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $17.32 / $23.29
| Professional | | $13.02 | $17.32 | $23.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $14.75 / $28.90
| Professional | | $10.79 | $14.75 | $28.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $14.15 / $25.08
| Facility | | $11.03 | $14.15 | $25.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.06 / $18.30 / $32.65
| Professional | | $13.06 | $18.30 | $32.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $14.44 / $23.45
| Professional | | $10.83 | $14.44 | $23.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $12.99 / $17.73
| Professional | | $11.04 | $12.99 | $17.73 |