- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $45.09 / $94.33
| Facility | | $18.68 | $45.09 | $94.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $16.85 / $25.65
| Professional | | $12.15 | $16.85 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $32.50 / $155.00
| Facility | | $17.05 | $32.50 | $155.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $18.68 / $39.57
| Professional | | $10.69 | $18.68 | $39.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.67 / $52.33 / $91.65
| Facility | | $24.67 | $52.33 | $91.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $27.74 / $63.86
| Facility | | $13.06 | $27.74 | $63.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $17.39 / $31.64
| Professional | | $11.24 | $17.39 | $31.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $54.37 / $6,679.00
| Facility | | $19.05 | $54.37 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $24.61 / $31.86
| Professional | | $19.05 | $24.61 | $31.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.68 / $25.89 / $74.05
| Professional | | $18.68 | $25.89 | $74.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.63 / $23.43 / $73.41
| Facility | | $16.63 | $23.43 | $73.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.50 / $155.00 / $155.00
| Facility | | $32.50 | $155.00 | $155.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $11.21 / $31.33
| Professional | | $8.97 | $11.21 | $31.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $20.45 / $43.81
| Facility | | $15.24 | $20.45 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $16.47 / $20.21
| Professional | | $13.03 | $16.47 | $20.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $18.68 / $22.42
| Facility | | $16.80 | $18.68 | $22.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.21 / $31.33
| Professional | | $8.41 | $11.21 | $31.33 |