- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.84 / $26.63 / $96.05
| Facility | | $10.84 | $26.63 | $96.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $10.33 / $20.66
| Professional | | $8.60 | $10.33 | $20.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $11.47 / $55.86
| Facility | | $11.47 | $11.47 | $55.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $5.67 / $6.93
| Professional | | $5.67 | $5.67 | $6.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.65 / $48.37 / $72.41
| Professional | | $31.65 | $48.37 | $72.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $27.55 / $58.69
| Facility | | $8.02 | $27.55 | $58.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $7.65 / $13.22
| Professional | | $6.50 | $7.65 | $13.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $14.34 / $16.98
| Professional | | $13.76 | $14.34 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $10.40 / $13.58
| Facility | | $9.61 | $10.40 | $13.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $17.35 / $29.00
| Professional | | $4.90 | $17.35 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $15.75 / $4,071.00
| Facility | | $8.93 | $15.75 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $15.66 / $4,071.00
| Professional | | $8.93 | $15.66 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $13.76 / $13.76
| Facility | | $13.76 | $13.76 | $13.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.55 / $16.03
| Professional | | $4.82 | $6.55 | $16.03 |