- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $36.11 / $141.75
| Facility | | $16.23 | $36.11 | $141.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $10.67 / $13.51
| Professional | | $10.33 | $10.67 | $13.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $32.96 / $144.00
| Facility | | $10.81 | $32.96 | $144.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $11.85 / $28.86
| Professional | | $7.11 | $11.85 | $28.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $11.14 / $15.16
| Professional | | $11.14 | $11.14 | $15.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $17.57 / $40.50
| Facility | | $8.27 | $17.57 | $40.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.10 / $19.89
| Professional | | $7.08 | $13.10 | $19.89 |
- 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
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.85 / $16.42 / $44.12
| Professional | | $11.85 | $16.42 | $44.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.69 / $15.45 / $99.80
| Facility | | $13.69 | $15.45 | $99.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.81 / $144.00 / $144.00
| Facility | | $70.81 | $144.00 | $144.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.94 / $25.02
| Professional | | $5.69 | $7.94 | $25.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.40 / $25.02
| Professional | | $5.69 | $8.40 | $25.02 |