- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $74.13 / $302.00
| Facility | | $24.55 | $74.13 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $22.39 / $51.29
| Professional | | $18.20 | $22.39 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $36.31 / $169.82
| Facility | | $23.44 | $36.31 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $25.70 / $53.70
| Professional | | $11.48 | $25.70 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $61.66 / $100.00
| Facility | | $50.12 | $61.66 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $23.99 / $32.36
| Professional | | $23.99 | $23.99 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $40.74 / $97.72
| Facility | | $19.95 | $40.74 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $30.90 / $43.65
| Professional | | $18.62 | $30.90 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $3,630.78 / $9,772.37
| Facility | | $36.31 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $43.65
| Professional | | $37.15 | $37.15 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $77.62
| Professional | | $25.70 | $25.70 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $33.11 / $144.54
| Facility | | $22.91 | $33.11 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $36.31 / $169.82
| Facility | | $23.44 | $36.31 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $25.70 / $53.70
| Professional | | $12.30 | $25.70 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $25.70 / $42.66
| Facility | | $14.79 | $25.70 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $21.38 / $60.26
| Professional | | $11.48 | $21.38 | $60.26 |