- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $38.02 / $537.03
| Facility | | $13.18 | $38.02 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.49 / $309.03
| Professional | | $10.96 | $13.49 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $38.90
| Facility | | $15.14 | $15.14 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $7.76 / $38.02
| Professional | | $7.41 | $7.76 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $15.14 / $15.14
| Facility | | $8.91 | $15.14 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $15.14
| Professional | | $10.96 | $15.14 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $35.48 / $162.18
| Facility | | $11.48 | $35.48 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $21.38 / $97.72
| Professional | | $9.77 | $21.38 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $17.38 / $41.69
| Facility | | $9.55 | $17.38 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.47 / $28.84
| Professional | | $7.08 | $10.47 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.13 / $16.22
| Professional | | $8.71 | $14.13 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $17.78 / $38.02
| Facility | | $10.96 | $17.78 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $28.18 / $50,118.72
| Facility | | $12.30 | $28.18 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $13.49 / $17.78
| Facility | | $8.91 | $13.49 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.91 / $22.91
| Professional | | $6.31 | $8.91 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $17.38 / $28.84
| Facility | | $8.51 | $17.38 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $15.14 / $35.48
| Professional | | $9.12 | $15.14 | $35.48 |