- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.90 / $74.84 / $151.05
| Facility | | $20.90 | $74.84 | $151.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.97 / $14.82 / $18.11
| Professional | | $13.97 | $14.82 | $18.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $28.64 / $100.00
| Facility | | $15.01 | $28.64 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $16.46 / $40.09
| Professional | | $7.90 | $16.46 | $40.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.81 / $45.87 / $80.20
| Facility | | $28.81 | $45.87 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.47 / $15.47 / $21.07
| Professional | | $15.47 | $15.47 | $21.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $24.43 / $56.29
| Facility | | $11.51 | $24.43 | $56.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.21 / $28.02
| Professional | | $9.99 | $18.21 | $28.02 |
- 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
- $23.80 / $23.80 / $28.00
| Professional | | $23.80 | $23.80 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.46 / $22.81 / $61.27
| Professional | | $16.46 | $22.81 | $61.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $21.45 / $175.74
| Facility | | $19.38 | $21.45 | $175.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.64 / $100.00 / $100.00
| Facility | | $28.64 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.88 / $34.77
| Professional | | $5.25 | $9.88 | $34.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.79 / $18.68 / $26.83
| Facility | | $16.79 | $18.68 | $26.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.52 / $16.98 / $20.83
| Professional | | $14.52 | $16.98 | $20.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.88 / $31.37
| Professional | | $5.25 | $9.88 | $31.37 |