- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.97 / $74.19 / $150.93
| Facility | | $9.97 | $74.19 | $150.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $21.85 / $39.11
| Professional | | $9.05 | $21.85 | $39.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,845.00 / $2,866.00 / $4,277.00
| Facility | | $1,845.00 | $2,866.00 | $4,277.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $21.59 / $38.77
| Professional | | $7.23 | $21.59 | $38.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.00 / $29.00 / $29.00
| Facility | | $29.00 | $29.00 | $29.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $28.50 / $46.43
| Professional | | $10.47 | $28.50 | $46.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $65.20
| Facility | | $55.00 | $55.00 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.00 / $261.00 / $338.92
| Professional | | $183.00 | $261.00 | $338.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.88 / $30.07 / $58.83
| Facility | | $9.88 | $30.07 | $58.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $15.28 / $52.64
| Professional | | $11.35 | $15.28 | $52.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,452.80 / $7,452.80 / $7,452.80
| Facility | | $7,452.80 | $7,452.80 | $7,452.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.88 / $30.07 / $58.72
| Facility | | $9.88 | $30.07 | $58.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $29.79 / $53.07
| Professional | | $10.58 | $29.79 | $53.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $28.51 / $46.02
| Professional | | $21.38 | $28.51 | $46.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.67 / $28.74 / $40.81
| Professional | | $25.67 | $28.74 | $40.81 |