- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.88 / $75.73 / $305.04
| Facility | | $26.88 | $75.73 | $305.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $27.00 / $28.10
| Professional | | $13.40 | $27.00 | $28.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $38.06 / $175.00
| Facility | | $14.13 | $38.06 | $175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $15.49 / $37.72
| Professional | | $9.28 | $15.49 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.26 / $43.41 / $75.90
| Facility | | $27.26 | $43.41 | $75.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $14.56 / $19.82
| Professional | | $14.56 | $14.56 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $23.03 / $52.96
| Facility | | $10.82 | $23.03 | $52.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $17.12 / $26.21
| Professional | | $9.36 | $17.12 | $26.21 |
- 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
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $21.47 / $57.65
| Professional | | $15.49 | $21.47 | $57.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.93 / $39.69 / $85.43
| Facility | | $19.93 | $39.69 | $85.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.06 / $175.00 / $175.00
| Facility | | $38.06 | $175.00 | $175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $10.39 / $32.70
| Professional | | $7.44 | $10.39 | $32.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $17.62 / $25.25
| Facility | | $15.49 | $17.62 | $25.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $15.98 / $19.60
| Professional | | $13.66 | $15.98 | $19.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $11.62 / $29.53
| Professional | | $7.44 | $11.62 | $29.53 |