- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $52.47 / $85.94
| Facility | | $19.26 | $52.47 | $85.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $19.26 / $34.60
| Professional | | $18.23 | $19.26 | $34.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.45 / $41.60 / $119.00
| Facility | | $18.45 | $41.60 | $119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $20.22 / $49.25
| Professional | | $12.13 | $20.22 | $49.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.50 / $56.53 / $98.83
| Facility | | $35.50 | $56.53 | $98.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.01 / $19.01 / $25.86
| Professional | | $19.01 | $19.01 | $25.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $30.04 / $69.06
| Facility | | $14.13 | $30.04 | $69.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $22.34 / $34.35
| Professional | | $12.07 | $22.34 | $34.35 |
- 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
- $29.40 / $29.40 / $34.59
| Professional | | $29.40 | $29.40 | $34.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.22 / $28.02 / $75.27
| Professional | | $20.22 | $28.02 | $75.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.60 / $119.00 / $119.00
| Facility | | $41.60 | $119.00 | $119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $12.60 / $42.68
| Professional | | $9.71 | $12.60 | $42.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $20.22 / $24.26
| Facility | | $18.20 | $20.22 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $12.13 / $38.54
| Professional | | $8.09 | $12.13 | $38.54 |