- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.36 / $69.84 / $136.00
| Facility | | $14.36 | $69.84 | $136.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.70 / $15.07 / $29.48
| Professional | | $13.70 | $15.07 | $29.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $10.15 / $10.15
| Professional | | $10.15 | $10.15 | $10.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.28 / $110.74 / $8,639.91
| Facility | | $85.28 | $110.74 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $13.19 / $13.19
| Professional | | $13.19 | $13.19 | $13.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $22.52 / $56.50
| Facility | | $11.11 | $22.52 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $9.98 / $22.90
| Professional | | $5.05 | $9.98 | $22.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.17 / $47.39 / $98.06
| Facility | | $32.17 | $47.39 | $98.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $14.38 / $16.00
| Professional | | $10.15 | $14.38 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.36 / $48.18 / $129.74
| Facility | | $14.36 | $48.18 | $129.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $15.14 / $69.84
| Professional | | $13.19 | $15.14 | $69.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $25.69 / $56.50
| Facility | | $11.32 | $25.69 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.91 / $16.91 / $16.91
| Facility | | $16.91 | $16.91 | $16.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.88 / $16.91 / $24.06
| Professional | | $14.88 | $16.91 | $24.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $11.11 / $29.63
| Professional | | $7.10 | $11.11 | $29.63 |