- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.73 / $49.01 / $118.15
| Facility | | $17.73 | $49.01 | $118.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $11.29 / $12.95
| Professional | | $10.85 | $11.29 | $12.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $22.53 / $80.00
| Facility | | $11.81 | $22.53 | $80.00 |
- 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
- $25.20 / $38.13 / $63.00
| Facility | | $25.20 | $38.13 | $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 / $19.53 / $44.24
| Facility | | $9.05 | $19.53 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $14.87 / $22.60
| Professional | | $7.63 | $14.87 | $22.60 |
- 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
- $15.25 / $27.54 / $132.56
| Facility | | $15.25 | $27.54 | $132.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.53 / $80.00 / $80.00
| Facility | | $22.53 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $7.77 / $27.33
| Professional | | $5.83 | $7.77 | $27.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $15.47 / $28.81
| Facility | | $12.56 | $15.47 | $28.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $13.35 / $16.37
| Professional | | $11.42 | $13.35 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.68 / $24.68
| Professional | | $6.22 | $8.68 | $24.68 |