- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.01 / $97.25 / $265.58
| Facility | | $36.01 | $97.25 | $265.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.44 / $19.39 / $26.68
| Professional | | $16.44 | $19.39 | $26.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.28 / $38.94 / $106.14
| Facility | | $20.28 | $38.94 | $106.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $22.23 / $54.15
| Professional | | $11.55 | $22.23 | $54.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.10 / $62.26 / $108.85
| Facility | | $39.10 | $62.26 | $108.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.90 / $20.90 / $28.44
| Professional | | $20.90 | $20.90 | $28.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $33.02 / $75.94
| Facility | | $15.54 | $33.02 | $75.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.32 / $24.58 / $37.51
| Professional | | $13.32 | $24.58 | $37.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.20 / $32.20 / $37.89
| Professional | | $32.20 | $32.20 | $37.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.23 / $30.81 / $82.78
| Professional | | $22.23 | $30.81 | $82.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.56 / $28.98 / $293.16
| Facility | | $24.56 | $28.98 | $293.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $106.14 / $106.14
| Facility | | $38.94 | $106.14 | $106.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $13.34 / $46.94
| Professional | | $10.67 | $13.34 | $46.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.67 / $24.99 / $36.22
| Facility | | $22.67 | $24.99 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $22.93 / $28.12
| Professional | | $19.60 | $22.93 | $28.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $13.34 / $88.16
| Professional | | $10.67 | $13.34 | $88.16 |