- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.88 / $44.29 / $132.66
| Facility | | $15.88 | $44.29 | $132.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.25 / $13.48 / $22.23
| Professional | | $9.25 | $13.48 | $22.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $11.11 / $11.58
| Professional | | $9.26 | $11.11 | $11.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $44.67 / $293.00
| Facility | | $20.29 | $44.67 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $11.03 / $34.96
| Professional | | $7.41 | $11.03 | $34.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.61 / $82.84 / $174.80
| Facility | | $37.61 | $82.84 | $174.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $12.04 / $47.48
| Professional | | $8.43 | $12.04 | $47.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $24.32 / $60.62
| Facility | | $12.04 | $24.32 | $60.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $21.06 / $28.40
| Professional | | $10.07 | $21.06 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.80 / $18.52 / $29.63
| Professional | | $14.80 | $18.52 | $29.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.82 / $18.52 / $41.97
| Professional | | $14.82 | $18.52 | $41.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $87.97 / $87.97
| Facility | | $80.00 | $87.97 | $87.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.67 / $22.17 / $32.56
| Professional | | $16.67 | $22.17 | $32.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $11.11 / $11.11
| Professional | | $11.11 | $11.11 | $11.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $18.52 / $45.12
| Facility | | $12.04 | $18.52 | $45.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $17.57 / $22.99
| Professional | | $10.26 | $17.57 | $22.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.00 / $65.00 / $65.00
| Professional | | $65.00 | $65.00 | $65.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.82 / $16.57 / $20.72
| Professional | | $14.82 | $16.57 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.78 / $8.18 / $31.23
| Professional | | $7.78 | $8.18 | $31.23 |