- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.47 / $194.10 / $571.28
| Facility | | $37.47 | $194.10 | $571.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $11.57 / $71.16
| Professional | | $8.68 | $11.57 | $71.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $6.94 / $6.94
| Professional | | $6.94 | $6.94 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $27.91 / $293.00
| Facility | | $12.68 | $27.91 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $8.42 / $27.38
| Professional | | $5.28 | $8.42 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.50 / $72.81 / $138.76
| Facility | | $28.50 | $72.81 | $138.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $9.46 / $55.54
| Professional | | $6.62 | $9.46 | $55.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.52 / $15.19 / $38.72
| Facility | | $7.52 | $15.19 | $38.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $13.22 / $20.48
| Professional | | $7.00 | $13.22 | $20.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.41 / $11.57 / $18.51
| Professional | | $9.41 | $11.57 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $11.57 / $26.22
| Professional | | $9.26 | $11.57 | $26.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $64.84 / $100.00
| Facility | | $51.00 | $64.84 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $19.82 / $69.50
| Professional | | $15.91 | $19.82 | $69.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $6.94 / $6.94
| Professional | | $6.94 | $6.94 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $13.39 / $30.70
| Facility | | $8.86 | $13.39 | $30.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.57 / $23.06
| Professional | | $7.65 | $11.57 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.61 / $40.61 / $40.61
| Professional | | $40.61 | $40.61 | $40.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $11.57 / $16.20
| Professional | | $9.26 | $11.57 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.43 / $20.66
| Professional | | $4.86 | $6.43 | $20.66 |