- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.01 / $71.40 / $107.00
| Facility | | $16.01 | $71.40 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $16.01 / $35.11
| Professional | | $15.16 | $16.01 | $35.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.94 / $53.52 / $166.77
| Facility | | $25.94 | $53.52 | $166.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $30.96 / $85.52
| Professional | | $11.12 | $30.96 | $85.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.96 / $76.67 / $138.90
| Facility | | $25.96 | $76.67 | $138.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.50 / $33.00 / $34.76
| Professional | | $21.50 | $33.00 | $34.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.22 / $35.72 / $64.90
| Facility | | $19.22 | $35.72 | $64.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $31.64 / $53.69
| Professional | | $8.61 | $31.64 | $53.69 |
- 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
- $50.88 / $50.88 / $59.86
| Professional | | $50.88 | $50.88 | $59.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.11 / $48.66 / $113.05
| Professional | | $35.11 | $48.66 | $113.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.09 / $166.77 / $166.77
| Facility | | $61.09 | $166.77 | $166.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $21.07 / $40.06
| Professional | | $10.50 | $21.07 | $40.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $15.80 / $21.07
| Facility | | $11.53 | $15.80 | $21.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $21.07 / $131.84
| Professional | | $10.50 | $21.07 | $131.84 |