- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.88 / $47.86 / $101.87
| Facility | | $18.88 | $47.86 | $101.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.05 / $15.46
| Professional | | $8.32 | $10.05 | $15.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $25.22 / $60.00
| Facility | | $10.27 | $25.22 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $11.26 / $27.43
| Professional | | $6.76 | $11.26 | $27.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $31.95 / $55.85
| Facility | | $20.05 | $31.95 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $10.58 / $14.40
| Professional | | $10.58 | $10.58 | $14.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $16.69 / $38.47
| Facility | | $7.86 | $16.69 | $38.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.44 / $18.98
| Professional | | $6.87 | $12.44 | $18.98 |
- 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
- $16.32 / $16.32 / $19.22
| Professional | | $16.32 | $16.32 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $15.61 / $41.91
| Professional | | $11.26 | $15.61 | $41.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.32 / $14.67 / $60.93
| Facility | | $12.32 | $14.67 | $60.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $60.00 / $60.00
| Facility | | $25.22 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $7.55 / $23.76
| Professional | | $5.40 | $7.55 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $12.66 / $18.35
| Facility | | $11.49 | $12.66 | $18.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $11.62 / $14.25
| Professional | | $9.93 | $11.62 | $14.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $9.44 / $23.76
| Professional | | $5.58 | $9.44 | $23.76 |