- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.93 / $229.26 / $609.19
| Facility | | $16.93 | $229.26 | $609.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $16.93 / $33.86
| Professional | | $14.34 | $16.93 | $33.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.76 / $68.64 / $68.64
| Facility | | $49.76 | $68.64 | $68.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $14.95 / $15.34
| Professional | | $10.62 | $14.95 | $15.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $19.50 / $62.27
| Facility | | $11.41 | $19.50 | $62.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $12.03 / $34.07
| Professional | | $10.68 | $12.03 | $34.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $17.70 / $32.20
| Facility | | $13.65 | $17.70 | $32.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.45 / $23.58 / $30.00
| Professional | | $21.45 | $23.58 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $11.80 / $23.60
| Professional | | $10.62 | $11.80 | $23.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.82 / $319.45 / $319.45
| Facility | | $57.82 | $319.45 | $319.45 |