- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.58 / $37.49 / $69.17
| Facility | | $13.58 | $37.49 | $69.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $12.84 / $13.58
| Professional | | $12.43 | $12.84 | $13.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.00 / $26.88 / $100.00
| Facility | | $13.00 | $26.88 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $15.45 / $37.63
| Professional | | $9.27 | $15.45 | $37.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.52 / $14.52 / $18.23
| Professional | | $14.52 | $14.52 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $21.16 / $48.72
| Facility | | $10.79 | $21.16 | $48.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $15.76 / $23.95
| Professional | | $9.36 | $15.76 | $23.95 |
- 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
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.45 / $21.41 / $53.06
| Professional | | $15.45 | $21.41 | $53.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.82 / $18.57 / $31.19
| Facility | | $12.82 | $18.57 | $31.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.88 / $100.00 / $100.00
| Facility | | $26.88 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $9.56 / $30.09
| Professional | | $7.07 | $9.56 | $30.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $13.65 / $35.47
| Professional | | $7.42 | $13.65 | $35.47 |