- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.67 / $51.71 / $150.06
| Facility | | $17.67 | $51.71 | $150.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $9.07 / $11.60
| Professional | | $8.52 | $9.07 | $11.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $28.32 / $74.73
| Facility | | $9.27 | $28.32 | $74.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.18 / $24.80
| Professional | | $5.25 | $10.18 | $24.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $30.34 / $50.13
| Facility | | $20.05 | $30.34 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $9.57 / $13.02
| Professional | | $9.57 | $9.57 | $13.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $15.11 / $34.76
| Facility | | $7.11 | $15.11 | $34.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $11.25 / $17.17
| Professional | | $6.04 | $11.25 | $17.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.96 / $3,472.00 / $9,239.00
| Facility | | $33.96 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $17.02
| Professional | | $14.47 | $14.47 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $14.11 / $37.89
| Professional | | $10.18 | $14.11 | $37.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.89 / $14.18 / $102.30
| Facility | | $11.89 | $14.18 | $102.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.27 / $74.73 / $74.73
| Facility | | $40.27 | $74.73 | $74.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.11 / $21.48
| Professional | | $4.88 | $6.11 | $21.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.88 / $12.22 / $22.65
| Facility | | $9.88 | $12.22 | $22.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $10.50 / $12.88
| Professional | | $8.98 | $10.50 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $6.11 / $6.99
| Facility | | $4.58 | $6.11 | $6.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.11 / $18.21
| Professional | | $4.88 | $6.11 | $18.21 |