- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.21 / $37.60 / $190.29
| Facility | | $9.21 | $37.60 | $190.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $5.63 / $16.53
| Professional | | $4.46 | $5.63 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.73 / $11.21 / $11.21
| Facility | | $6.73 | $11.21 | $11.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $11.21 / $11.21
| Professional | | $5.01 | $11.21 | $11.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $20.20 / $115.39
| Professional | | $14.53 | $20.20 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $21.53
| Professional | | $5.05 | $5.05 | $21.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $22.72 / $23.84
| Professional | | $5.05 | $22.72 | $23.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.40 / $89.97 / $116.29
| Facility | | $7.40 | $89.97 | $116.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $26.46
| Professional | | $18.00 | $18.00 | $26.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $14.51 / $35.68
| Professional | | $9.67 | $14.51 | $35.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Facility | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $23.35 / $27.34
| Professional | | $20.19 | $23.35 | $27.34 |