- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.38 / $45.75 / $73.06
| Facility | | $16.38 | $45.75 | $73.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $16.38 / $29.41
| Professional | | $15.50 | $16.38 | $29.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.68 / $35.85 / $217.00
| Facility | | $15.68 | $35.85 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $17.19 / $41.87
| Professional | | $10.31 | $17.19 | $41.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.35 / $48.33 / $84.50
| Facility | | $30.35 | $48.33 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $16.16 / $22.00
| Professional | | $16.16 | $16.16 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $25.55 / $58.77
| Facility | | $12.02 | $25.55 | $58.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.01 / $28.93
| Professional | | $10.41 | $19.01 | $28.93 |
- 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
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.19 / $23.83 / $63.98
| Professional | | $17.19 | $23.83 | $63.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.85 / $217.00 / $217.00
| Facility | | $35.85 | $217.00 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.50 / $36.29
| Professional | | $8.25 | $10.50 | $36.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.50 / $36.29
| Professional | | $8.25 | $10.50 | $36.29 |