- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.53 / $59.83 / $142.15
| Facility | | $14.53 | $59.83 | $142.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.47 / $16.46
| Professional | | $8.71 | $12.47 | $16.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $33.19 / $293.00
| Facility | | $15.08 | $33.19 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $10.84 / $35.31
| Professional | | $6.80 | $10.84 | $35.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.64 / $84.20 / $176.92
| Facility | | $35.64 | $84.20 | $176.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $12.19 / $66.05
| Professional | | $8.52 | $12.19 | $66.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $18.05 / $46.04
| Facility | | $9.52 | $18.05 | $46.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.57 / $24.70
| Professional | | $8.91 | $16.57 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $13.76 / $22.02
| Professional | | $12.23 | $13.76 | $22.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $13.76 / $30.27
| Professional | | $11.01 | $13.76 | $30.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $66.06 / $81.00
| Facility | | $58.00 | $66.06 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $8.25 / $8.25
| Professional | | $8.25 | $8.25 | $8.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $16.46 / $41.66
| Facility | | $11.41 | $16.46 | $41.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $13.76 / $27.52
| Professional | | $9.03 | $13.76 | $27.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.29 / $48.29 / $48.29
| Professional | | $48.29 | $48.29 | $48.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $13.76 / $19.26
| Professional | | $11.01 | $13.76 | $19.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.26 / $26.61
| Professional | | $5.78 | $8.26 | $26.61 |