- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $48.05 / $216.56
| Facility | | $17.21 | $48.05 | $216.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.71 / $17.21 / $30.89
| Professional | | $15.71 | $17.21 | $30.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $34.36 / $251.00
| Facility | | $16.47 | $34.36 | $251.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.85 / $19.75 / $48.11
| Professional | | $11.85 | $19.75 | $48.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.90 / $50.79 / $88.80
| Facility | | $31.90 | $50.79 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $19.55 / $265.26
| Professional | | $18.57 | $19.55 | $265.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $26.96 / $61.68
| Facility | | $13.80 | $26.96 | $61.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $19.97 / $30.73
| Professional | | $11.86 | $19.97 | $30.73 |
- 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
- $28.46 / $28.46 / $33.49
| Professional | | $28.46 | $28.46 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.75 / $27.37 / $67.20
| Professional | | $19.75 | $27.37 | $67.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $23.53 / $23.53
| Facility | | $16.23 | $23.53 | $23.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.36 / $251.00 / $251.00
| Facility | | $34.36 | $251.00 | $251.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.11 / $38.11
| Professional | | $8.94 | $12.11 | $38.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.60 / $38.11
| Professional | | $8.94 | $12.60 | $38.11 |