- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $21.35 / $144.56
| Facility | | $5.93 | $21.35 | $144.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.91 / $11.88
| Professional | | $5.90 | $8.91 | $11.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $14.44 / $37.11
| Facility | | $10.38 | $14.44 | $37.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $6.46
| Professional | | $6.46 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $10.18 / $30.92
| Facility | | $9.00 | $10.18 | $30.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $10.18
| Professional | | $10.18 | $10.18 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.26 / $115.26 / $115.26
| Facility | | $115.26 | $115.26 | $115.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $8.15 / $15.90
| Facility | | $8.15 | $8.15 | $15.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $6.93
| Professional | | $6.93 | $6.93 | $6.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.55 / $80.00 / $85.00
| Facility | | $27.55 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.58 / $67.58 / $101.78
| Professional | | $67.58 | $67.58 | $101.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $10.67 / $16.92
| Facility | | $8.91 | $10.67 | $16.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $12.89 / $13.57
| Professional | | $11.46 | $12.89 | $13.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $14.53 / $26.70
| Professional | | $4.59 | $14.53 | $26.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $10.67 / $16.98
| Facility | | $9.02 | $10.67 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $11.30
| Professional | | $6.93 | $6.93 | $11.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $6.25 / $8.25
| Professional | | $4.80 | $6.25 | $8.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $13.57 / $18.32
| Professional | | $6.01 | $13.57 | $18.32 |