- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.16 / $42.33 / $77.18
| Facility | | $15.16 | $42.33 | $77.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.35 / $15.16 / $30.52
| Professional | | $14.35 | $15.16 | $30.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.64 / $34.49 / $129.00
| Facility | | $14.64 | $34.49 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $19.82 / $48.28
| Professional | | $11.89 | $19.82 | $48.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.30 / $45.06 / $78.78
| Facility | | $28.30 | $45.06 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.63 / $18.63 / $20.35
| Professional | | $18.63 | $18.63 | $20.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.85 / $25.13 / $54.34
| Facility | | $13.85 | $25.13 | $54.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.56 / $17.57 / $29.94
| Professional | | $11.56 | $17.57 | $29.94 |
- 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
- $19.82 / $27.47 / $64.42
| Professional | | $19.82 | $27.47 | $64.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.49 / $129.00 / $129.00
| Facility | | $34.49 | $129.00 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.93 / $11.89 / $33.57
| Professional | | $7.93 | $11.89 | $33.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $19.82 / $23.78
| Facility | | $17.84 | $19.82 | $23.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.33 / $33.57
| Professional | | $8.32 | $13.33 | $33.57 |