- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $71.45 / $227.06
| Facility | | $7.18 | $71.45 | $227.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $7.18 / $80.45
| Professional | | $7.18 | $7.18 | $80.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.58 / $92.01 / $382.19
| Facility | | $27.58 | $92.01 | $382.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $70.95 / $168.02
| Professional | | $6.32 | $70.95 | $168.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.74 / $193.27 / $319.35
| Facility | | $127.74 | $193.27 | $319.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $75.63 / $79.66
| Professional | | $9.64 | $75.63 | $79.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.34 / $33.27 / $111.49
| Facility | | $8.34 | $33.27 | $111.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $48.50 / $122.35
| Professional | | $6.32 | $48.50 | $122.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $3,472.00 / $9,239.00
| Facility | | $23.66 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.23 / $116.23 / $136.74
| Professional | | $116.23 | $116.23 | $136.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.34 / $80.45 / $259.08
| Professional | | $29.34 | $80.45 | $259.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.00 / $382.19 / $382.19
| Facility | | $140.00 | $382.19 | $382.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $32.18 / $48.28
| Professional | | $6.30 | $32.18 | $48.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $33.79 / $80.45
| Professional | | $6.30 | $33.79 | $80.45 |