- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.11 / $94.19 / $115.54
| Facility | | $22.11 | $94.19 | $115.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $19.89 / $23.21
| Professional | | $15.40 | $19.89 | $23.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.69 / $112.57 / $8,639.91
| Facility | | $86.69 | $112.57 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.29 / $21.29 / $21.29
| Professional | | $21.29 | $21.29 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.94 / $35.47 / $87.08
| Facility | | $17.94 | $35.47 | $87.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $30.04 / $40.83
| Professional | | $10.72 | $30.04 | $40.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $18.57 / $36.96
| Professional | | $12.56 | $18.57 | $36.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.38 / $16.38 / $16.38
| Professional | | $16.38 | $16.38 | $16.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.21 / $74.23 / $114.19
| Facility | | $23.21 | $74.23 | $114.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.20 / $21.57 / $112.75
| Professional | | $17.20 | $21.57 | $112.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.75 / $35.50 / $90.19
| Facility | | $17.75 | $35.50 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $30.04 / $39.24
| Professional | | $10.72 | $30.04 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.30 / $27.30 / $27.30
| Facility | | $27.30 | $27.30 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.02 / $27.30 / $27.30
| Professional | | $24.02 | $27.30 | $27.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $11.79 / $13.65
| Facility | | $11.79 | $11.79 | $13.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $16.38 / $47.50
| Professional | | $10.54 | $16.38 | $47.50 |