- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.87 / $91.30 / $266.38
| Facility | | $30.87 | $91.30 | $266.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.19 / $19.89 / $22.34
| Professional | | $19.19 | $19.89 | $22.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.39 / $62.13 / $182.22
| Facility | | $20.39 | $62.13 | $182.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $22.34 / $53.27
| Professional | | $13.40 | $22.34 | $53.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.38 / $44.25 / $81.48
| Facility | | $30.38 | $44.25 | $81.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $28.59
| Professional | | $21.00 | $21.00 | $28.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.61 / $33.71 / $76.33
| Facility | | $15.61 | $33.71 | $76.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.18 / $25.61 / $70.64
| Professional | | $17.18 | $25.61 | $70.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.58 / $83.43 / $6,679.00
| Facility | | $26.58 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $26.58 / $56.11
| Professional | | $19.34 | $26.58 | $56.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.34 / $30.96 / $83.18
| Professional | | $22.34 | $30.96 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.40 / $31.01 / $134.76
| Facility | | $26.40 | $31.01 | $134.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.28 / $182.22 / $182.22
| Facility | | $62.28 | $182.22 | $182.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $13.40 / $47.16
| Professional | | $10.72 | $13.40 | $47.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.67 / $25.47 / $49.69
| Facility | | $21.67 | $25.47 | $49.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.70 / $23.04 / $28.26
| Professional | | $19.70 | $23.04 | $28.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $14.98 / $42.58
| Professional | | $10.72 | $14.98 | $42.58 |