- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $52.30 / $140.03
| Facility | | $17.16 | $52.30 | $140.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.43 / $16.10 / $22.42
| Professional | | $15.43 | $16.10 | $22.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.66 / $36.29 / $103.00
| Facility | | $15.66 | $36.29 | $103.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $17.16 / $41.80
| Professional | | $8.24 | $17.16 | $41.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.35 / $48.33 / $84.50
| Facility | | $30.35 | $48.33 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $16.13 / $21.62
| Professional | | $16.13 | $16.13 | $21.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $25.47 / $58.62
| Facility | | $11.99 | $25.47 | $58.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $18.69 / $28.93
| Professional | | $10.41 | $18.69 | $28.93 |
- 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
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.16 / $23.78 / $63.88
| Professional | | $17.16 | $23.78 | $63.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.07 / $22.02 / $53.39
| Facility | | $18.07 | $22.02 | $53.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $103.00 / $103.00
| Facility | | $36.29 | $103.00 | $103.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.30 / $35.69
| Professional | | $5.25 | $10.30 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.30 / $32.71
| Professional | | $5.25 | $10.30 | $32.71 |