- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $87.10 / $173.78
| Facility | | $28.18 | $87.10 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $33.88 / $51.29
| Professional | | $19.05 | $33.88 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $51.29 / $186.21
| Facility | | $34.67 | $51.29 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $33.11 / $79.43
| Professional | | $15.85 | $33.11 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $93.33 / $131.83
| Facility | | $74.13 | $93.33 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $35.48 / $37.15
| Professional | | $14.79 | $35.48 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $60.26 / $144.54
| Facility | | $24.55 | $60.26 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $45.71 / $63.10
| Professional | | $22.91 | $45.71 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $3,630.78 / $9,772.37
| Facility | | $16.60 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $64.57
| Professional | | $54.95 | $54.95 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $81.28
| Professional | | $38.02 | $38.02 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $46.77 / $100.00
| Facility | | $14.79 | $46.77 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $51.29 / $186.21
| Facility | | $34.67 | $51.29 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $33.11 / $79.43
| Professional | | $15.85 | $33.11 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $40.74 / $60.26
| Facility | | $11.75 | $40.74 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $38.02 / $61.66
| Facility | | $19.05 | $38.02 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $22.39 / $63.10
| Professional | | $9.55 | $22.39 | $63.10 |