- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.76 / $66.12 / $200.14
| Facility | | $22.76 | $66.12 | $200.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.70 / $15.29 / $19.71
| Professional | | $14.70 | $15.29 | $19.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $49.83 / $110.92
| Facility | | $15.39 | $49.83 | $110.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $17.92 / $55.00
| Professional | | $10.75 | $17.92 | $55.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.69 / $45.84 / $83.05
| Facility | | $20.69 | $45.84 | $83.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $25.05 / $57.63
| Facility | | $12.53 | $25.05 | $57.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $18.64 / $28.47
| Professional | | $10.82 | $18.64 | $28.47 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.92 / $24.84 / $62.78
| Professional | | $17.92 | $24.84 | $62.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.63 / $22.48 / $151.68
| Facility | | $18.63 | $22.48 | $151.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.92 / $110.92 / $348.00
| Facility | | $110.92 | $110.92 | $348.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $11.31 / $55.00
| Professional | | $8.36 | $11.31 | $55.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $21.40 / $40.85
| Facility | | $17.23 | $21.40 | $40.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.80 / $17.92 / $21.33
| Professional | | $15.80 | $17.92 | $21.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $14.14 / $55.00
| Professional | | $8.36 | $14.14 | $55.00 |