- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $43.64 / $95.75
| Facility | | $14.32 | $43.64 | $95.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $11.74 / $14.76
| Professional | | $11.28 | $11.74 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $24.92 / $80.00
| Facility | | $11.81 | $24.92 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $14.32 / $34.88
| Professional | | $8.59 | $14.32 | $34.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $38.13 / $63.00
| Facility | | $25.20 | $38.13 | $63.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $19.55 / $44.24
| Facility | | $10.01 | $19.55 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $16.52 / $22.60
| Professional | | $7.63 | $16.52 | $22.60 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $19.85 / $48.21
| Professional | | $14.32 | $19.85 | $48.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.31 / $17.96 / $78.53
| Facility | | $14.31 | $17.96 | $78.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.92 / $80.00 / $80.00
| Facility | | $24.92 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.59 / $27.33
| Professional | | $6.42 | $8.59 | $27.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $17.11 / $32.64
| Facility | | $13.26 | $17.11 | $32.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.63 / $14.02 / $16.37
| Professional | | $12.63 | $14.02 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.59 / $27.29
| Professional | | $6.42 | $8.59 | $27.29 |