- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $29.61 / $85.64
| Facility | | $10.81 | $29.61 | $85.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.42 / $9.66 / $10.30
| Professional | | $9.42 | $9.66 | $10.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $30.06 / $144.00
| Facility | | $9.86 | $30.06 | $144.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.81 / $26.33
| Professional | | $6.49 | $10.81 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $30.30 / $52.98
| Facility | | $19.03 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $10.16 / $13.83
| Professional | | $10.16 | $10.16 | $13.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $16.07 / $36.94
| Facility | | $7.55 | $16.07 | $36.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.96 / $18.07
| Professional | | $6.45 | $11.96 | $18.07 |
- 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
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $14.98 / $40.22
| Professional | | $10.81 | $14.98 | $40.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.13 / $14.09 / $25.55
| Facility | | $10.13 | $14.09 | $25.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.81 / $144.00 / $144.00
| Facility | | $66.81 | $144.00 | $144.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $7.25 / $22.82
| Professional | | $5.19 | $7.25 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $9.07 / $20.60
| Professional | | $5.19 | $9.07 | $20.60 |