- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $30.90 / $48.98
| Facility | | $10.96 | $30.90 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $10.00 / $52.48
| Professional | | $6.17 | $10.00 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.22 / $100.00
| Facility | | $10.72 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.75 / $24.55
| Professional | | $6.92 | $11.75 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $28.84 / $45.71
| Facility | | $22.91 | $28.84 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $14.79
| Professional | | $10.96 | $10.96 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $18.62 / $44.67
| Facility | | $9.12 | $18.62 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.13 / $19.95
| Professional | | $8.51 | $14.13 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $3,630.78 / $9,772.37
| Facility | | $10.23 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $19.95
| Professional | | $16.98 | $16.98 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $35.48
| Professional | | $11.75 | $11.75 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $15.14
| Facility | | $15.14 | $15.14 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.22 / $100.00
| Facility | | $10.72 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.75 / $24.55
| Professional | | $6.92 | $11.75 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $11.75 / $19.05
| Facility | | $6.61 | $11.75 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $10.23 / $27.54
| Professional | | $5.75 | $10.23 | $27.54 |