- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.55 / $45.02 / $89.18
| Facility | | $8.55 | $45.02 | $89.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $16.05 / $16.29
| Professional | | $4.45 | $16.05 | $16.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $25.33 / $86.10
| Facility | | $16.39 | $25.33 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $15.86 / $37.54
| Professional | | $3.92 | $15.86 | $37.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $49.02 / $88.80
| Facility | | $8.57 | $49.02 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $16.89 / $17.80
| Professional | | $5.97 | $16.89 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $26.20 / $61.41
| Facility | | $9.73 | $26.20 | $61.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $16.64 / $30.28
| Professional | | $5.17 | $16.64 | $30.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $3,472.00 / $9,239.00
| Facility | | $26.30 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.98 / $17.98 / $64.09
| Professional | | $17.98 | $17.98 | $64.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $16.86 / $42.02
| Facility | | $6.08 | $16.86 | $42.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.91 / $86.10 / $86.10
| Facility | | $46.91 | $86.10 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $9.86 / $30.14
| Professional | | $3.15 | $9.86 | $30.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $10.79 / $30.14
| Professional | | $3.15 | $10.79 | $30.14 |