- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.60 / $27.02 / $164.31
| Facility | | $15.60 | $27.02 | $164.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.30 / $28.94 / $57.80
| Professional | | $17.30 | $28.94 | $57.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.93 / $173.36 / $389.24
| Facility | | $81.93 | $173.36 | $389.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $21.35 / $35.00
| Professional | | $14.46 | $21.35 | $35.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.97 / $14.97 / $80.00
| Facility | | $14.97 | $14.97 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.54 / $30.54 / $30.54
| Facility | | $30.54 | $30.54 | $30.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $37.70 / $90.58
| Professional | | $20.04 | $37.70 | $90.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $111.59
| Facility | | $55.00 | $55.00 | $111.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $179.79 / $338.34 / $379.37
| Professional | | $179.79 | $338.34 | $379.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.44 / $43.82 / $81.14
| Facility | | $18.44 | $43.82 | $81.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.28 / $33.38 / $50.80
| Professional | | $22.28 | $33.38 | $50.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.50 / $32.29 / $53.01
| Professional | | $18.50 | $32.29 | $53.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.44 / $43.82 / $81.14
| Facility | | $18.44 | $43.82 | $81.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $38.44 / $89.95
| Professional | | $20.04 | $38.44 | $89.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $950.00 / $2,405.00
| Facility | | $161.00 | $950.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.67 / $38.13 / $72.51
| Professional | | $24.67 | $38.13 | $72.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.29 / $27.59 / $38.70
| Professional | | $24.29 | $27.59 | $38.70 |