- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $68.03 / $150.00
| Facility | | $17.82 | $68.03 | $150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $17.82 / $25.45
| Professional | | $10.34 | $17.82 | $25.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.74 / $77.37 / $120.89
| Facility | | $29.74 | $77.37 | $120.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.27 / $25.45 / $61.99
| Professional | | $15.27 | $25.45 | $61.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.18 / $62.31 / $102.95
| Facility | | $41.18 | $62.31 | $102.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.92 / $23.92 / $25.20
| Professional | | $23.92 | $23.92 | $25.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $17.78 / $57.89
| Facility | | $11.81 | $17.78 | $57.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.25 / $30.98 / $47.72
| Professional | | $14.25 | $30.98 | $47.72 |
- 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
- $36.86 / $36.86 / $43.38
| Professional | | $36.86 | $36.86 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $33.59 / $72.79
| Professional | | $25.45 | $33.59 | $72.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.02 / $72.00 / $103.72
| Facility | | $28.02 | $72.00 | $103.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.28 / $120.89 / $120.89
| Facility | | $44.28 | $120.89 | $120.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $15.27 / $44.54
| Professional | | $10.18 | $15.27 | $44.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.80 / $26.21 / $41.48
| Facility | | $18.80 | $26.21 | $41.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $22.44 / $27.54
| Professional | | $18.80 | $22.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $15.27 / $38.18
| Professional | | $10.18 | $15.27 | $38.18 |