- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.43 / $51.49 / $147.80
| Facility | | $18.43 | $51.49 | $147.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.28 / $18.43 / $26.57
| Professional | | $17.28 | $18.43 | $26.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $53.81 / $157.00
| Facility | | $17.64 | $53.81 | $157.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $19.35 / $47.13
| Professional | | $9.28 | $19.35 | $47.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $54.07 / $94.53
| Facility | | $33.95 | $54.07 | $94.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.19 / $18.19 / $24.75
| Professional | | $18.19 | $18.19 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $28.72 / $66.12
| Facility | | $13.52 | $28.72 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $21.39 / $32.54
| Professional | | $11.66 | $21.39 | $32.54 |
- 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
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.35 / $26.82 / $72.02
| Professional | | $19.35 | $26.82 | $72.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $18.14 / $42.36
| Facility | | $18.14 | $18.14 | $42.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.74 / $157.00 / $157.00
| Facility | | $86.74 | $157.00 | $157.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.61 / $40.83
| Professional | | $7.35 | $11.61 | $40.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.61 / $36.88
| Professional | | $7.35 | $11.61 | $36.88 |