- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.92 / $56.80 / $96.56
| Facility | | $22.92 | $56.80 | $96.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $11.65 / $14.25
| Professional | | $9.71 | $11.65 | $14.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $22.53 / $70.00
| Facility | | $11.81 | $22.53 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $12.95 / $31.54
| Professional | | $7.77 | $12.95 | $31.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $36.04 / $63.00
| Facility | | $22.63 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.17 / $12.17 / $16.55
| Professional | | $12.17 | $12.17 | $16.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $19.22 / $44.24
| Facility | | $9.05 | $19.22 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $14.31 / $21.69
| Professional | | $7.70 | $14.31 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $17.95 / $48.21
| Professional | | $12.95 | $17.95 | $48.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.13 / $16.87 / $102.50
| Facility | | $15.13 | $16.87 | $102.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.53 / $70.00 / $70.00
| Facility | | $22.53 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.68 / $27.33
| Professional | | $6.22 | $8.68 | $27.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $15.56 / $29.53
| Facility | | $12.52 | $15.56 | $29.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $13.23 / $16.37
| Professional | | $11.42 | $13.23 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $10.50 / $27.33
| Professional | | $6.22 | $10.50 | $27.33 |