- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $69.18 / $288.40
| Facility | | $15.49 | $69.18 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.80 / $64.57
| Professional | | $10.00 | $13.80 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $21.38 / $208.93
| Facility | | $14.13 | $21.38 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $15.14 / $32.36
| Professional | | $9.12 | $15.14 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $37.15 / $53.70
| Facility | | $29.51 | $37.15 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $18.20
| Professional | | $14.45 | $14.45 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $24.55 / $58.88
| Facility | | $12.02 | $24.55 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $25.70
| Professional | | $11.22 | $18.62 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $3,630.78 / $9,772.37
| Facility | | $20.89 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $25.70
| Professional | | $21.88 | $21.88 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $43.65
| Professional | | $15.49 | $15.49 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $28.84 / $63.10
| Facility | | $18.62 | $28.84 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $21.38 / $208.93
| Facility | | $14.13 | $21.38 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $15.49 / $32.36
| Professional | | $9.12 | $15.49 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $15.49 / $25.12
| Facility | | $8.71 | $15.49 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $13.80 / $33.88
| Professional | | $7.59 | $13.80 | $33.88 |