- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.80 / $169.20 / $462.82
| Facility | | $21.80 | $169.20 | $462.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $22.28 / $48.59
| Professional | | $10.23 | $22.28 | $48.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.40 / $71.68 / $2,391.00
| Facility | | $34.40 | $71.68 | $2,391.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.68 / $38.86 / $138.00
| Professional | | $15.68 | $38.86 | $138.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.71 / $21.72 / $42.38
| Facility | | $16.71 | $21.72 | $42.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $450.00 / $450.00
| Facility | | $50.00 | $450.00 | $450.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.08 / $45.37 / $79.63
| Professional | | $23.08 | $45.37 | $79.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.22 / $67.31 / $6,679.00
| Facility | | $17.22 | $67.31 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.55 / $38.94 / $71.34
| Professional | | $30.55 | $38.94 | $71.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.02 / $39.90 / $83.66
| Professional | | $18.02 | $39.90 | $83.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.53 / $27.78 / $141.22
| Facility | | $22.53 | $27.78 | $141.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.97 / $36.97 / $36.97
| Professional | | $36.97 | $36.97 | $36.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.68 / $71.68 / $2,733.00
| Facility | | $71.68 | $71.68 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.04 / $57.70 / $199.84
| Professional | | $31.04 | $57.70 | $199.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $157.66 / $247.07
| Facility | | $11.37 | $157.66 | $247.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $1,078.00 / $2,733.00
| Facility | | $308.00 | $1,078.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.95 / $46.98 / $104.14
| Professional | | $29.95 | $46.98 | $104.14 |