- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.04 / $53.73 / $203.71
| Facility | | $19.04 | $53.73 | $203.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $18.14 / $26.14
| Professional | | $14.08 | $18.14 | $26.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.37 / $52.96 / $148.22
| Facility | | $17.37 | $52.96 | $148.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $19.04 / $46.38
| Professional | | $9.14 | $19.04 | $46.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.43 / $53.24 / $93.08
| Facility | | $33.43 | $53.24 | $93.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $18.85 / $24.36
| Professional | | $17.89 | $18.85 | $24.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $28.29 / $65.05
| Facility | | $13.30 | $28.29 | $65.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $21.05 / $32.09
| Professional | | $11.45 | $21.05 | $32.09 |
- 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
- $27.54 / $27.54 / $32.40
| Professional | | $27.54 | $27.54 | $32.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.04 / $26.39 / $70.89
| Professional | | $19.04 | $26.39 | $70.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.86 / $24.58 / $83.98
| Facility | | $17.86 | $24.58 | $83.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.74 / $148.22 / $148.22
| Facility | | $86.74 | $148.22 | $148.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.42 / $40.20
| Professional | | $7.35 | $11.42 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.42 / $40.20
| Professional | | $7.35 | $11.42 | $40.20 |