- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.97 / $28.72 / $116.52
| Facility | | $12.97 | $28.72 | $116.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $7.66 / $9.68
| Professional | | $7.40 | $7.66 | $9.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $26.43 / $60.00
| Facility | | $7.75 | $26.43 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.72 / $23.68
| Professional | | $5.25 | $9.72 | $23.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $9.14 / $10.87
| Professional | | $9.14 | $9.14 | $10.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.79 / $12.82 / $29.02
| Facility | | $6.79 | $12.82 | $29.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.39 / $14.98
| Professional | | $5.83 | $9.39 | $14.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.35 / $3,472.00 / $9,239.00
| Facility | | $44.35 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $13.47 / $32.51
| Professional | | $9.72 | $13.47 | $32.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $12.04 / $87.76
| Facility | | $10.10 | $12.04 | $87.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.55 / $60.00 / $60.00
| Facility | | $26.55 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $5.83 / $17.93
| Professional | | $4.21 | $5.83 | $17.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $11.08 / $15.84
| Facility | | $8.76 | $11.08 | $15.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.83 / $17.93
| Professional | | $3.89 | $5.83 | $17.93 |