- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.51 / $36.26 / $131.40
| Facility | | $19.51 | $36.26 | $131.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $14.17 / $22.32
| Professional | | $10.57 | $14.17 | $22.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.96 / $42.28 / $44.72
| Facility | | $34.96 | $42.28 | $44.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.02 / $67.27
| Professional | | $8.02 | $8.02 | $67.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $44.14 / $45.87
| Facility | | $11.09 | $44.14 | $45.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.06 / $52.65 / $80.77
| Facility | | $45.06 | $52.65 | $80.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.59 / $43.78 / $49.75
| Professional | | $18.59 | $43.78 | $49.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $19.51
| Facility | | $14.48 | $14.48 | $19.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $16.26 / $100.00
| Facility | | $14.48 | $16.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $16.26 / $53.23
| Professional | | $9.76 | $16.26 | $53.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $31.87 / $85.00
| Professional | | $8.13 | $31.87 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $19.51
| Facility | | $14.48 | $14.48 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.87 / $39.60 / $148.66
| Professional | | $19.87 | $39.60 | $148.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.52 / $32.52 / $100.00
| Facility | | $32.52 | $32.52 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $10.78 / $15.94
| Professional | | $8.61 | $10.78 | $15.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.63 / $34.63 / $56.27
| Professional | | $34.63 | $34.63 | $56.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.27 / $64.81 / $88.78
| Professional | | $56.27 | $64.81 | $88.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.43 / $13.63 / $44.56
| Professional | | $9.43 | $13.63 | $44.56 |