- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.36 / $95.00 / $304.80
| Facility | | $35.36 | $95.00 | $304.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.07 / $22.09 / $29.43
| Professional | | $18.07 | $22.09 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.55 / $44.91 / $123.84
| Facility | | $23.55 | $44.91 | $123.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $25.81 / $62.87
| Professional | | $12.39 | $25.81 | $62.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.27 / $72.09 / $126.03
| Facility | | $45.27 | $72.09 | $126.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.26 / $24.26 / $32.32
| Professional | | $24.26 | $24.26 | $32.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.04 / $38.35 / $88.22
| Facility | | $18.04 | $38.35 | $88.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.61 / $28.54 / $43.84
| Professional | | $15.61 | $28.54 | $43.84 |
- 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
- $37.35 / $37.35 / $43.94
| Professional | | $37.35 | $37.35 | $43.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $35.77 / $96.08
| Professional | | $25.81 | $35.77 | $96.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.52 / $33.64 / $218.67
| Facility | | $28.52 | $33.64 | $218.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.91 / $123.84 / $123.84
| Facility | | $44.91 | $123.84 | $123.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $15.49 / $54.50
| Professional | | $11.55 | $15.49 | $54.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.04 / $30.86 / $57.40
| Facility | | $25.04 | $30.86 | $57.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.76 / $26.62 / $32.65
| Professional | | $22.76 | $26.62 | $32.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $15.49 / $54.50
| Professional | | $11.55 | $15.49 | $54.50 |