- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.24 / $104.88 / $161.31
| Facility | | $31.24 | $104.88 | $161.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $22.29 / $32.78
| Professional | | $13.38 | $22.29 | $32.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.22 / $172.99 / $8,639.91
| Facility | | $133.22 | $172.99 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.08 / $30.08 / $30.08
| Professional | | $30.08 | $30.08 | $30.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.35 / $50.11 / $112.05
| Facility | | $25.35 | $50.11 | $112.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.21 / $43.61 / $57.37
| Professional | | $18.21 | $43.61 | $57.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $22.76 / $52.22
| Professional | | $17.73 | $22.76 | $52.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.94 / $89.62 / $374.57
| Facility | | $31.94 | $89.62 | $374.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $18.32 / $25.46
| Professional | | $13.50 | $18.32 | $25.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.78 / $104.88 / $161.31
| Facility | | $32.78 | $104.88 | $161.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $30.08 / $159.29
| Professional | | $13.38 | $30.08 | $159.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.07 / $51.36 / $128.22
| Facility | | $25.07 | $51.36 | $128.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.23 / $43.61 / $55.24
| Professional | | $17.23 | $43.61 | $55.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.57 / $38.57 / $42.43
| Facility | | $38.57 | $38.57 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.94 / $38.57 / $42.43
| Professional | | $33.94 | $38.57 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $23.14 / $65.56
| Professional | | $16.20 | $23.14 | $65.56 |