- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $27.76 / $67.23
| Facility | | $9.94 | $27.76 | $67.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $12.22 / $23.46
| Professional | | $9.94 | $12.22 | $23.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $23.58 / $64.86
| Facility | | $12.36 | $23.58 | $64.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $13.55 / $32.40
| Professional | | $6.50 | $13.55 | $32.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.12 / $37.68 / $65.88
| Facility | | $19.12 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $12.74 / $13.41
| Professional | | $12.74 | $12.74 | $13.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $20.16 / $46.31
| Facility | | $9.47 | $20.16 | $46.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.61 / $23.05
| Professional | | $8.11 | $12.61 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.21 / $3,472.00 / $9,239.00
| Facility | | $34.21 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $18.78 / $48.34
| Professional | | $13.55 | $18.78 | $48.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.58 / $15.58 / $15.96
| Facility | | $15.58 | $15.58 | $15.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $64.86 / $64.86
| Facility | | $23.58 | $64.86 | $64.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $22.73
| Professional | | $5.25 | $8.13 | $22.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.20 / $13.55 / $16.26
| Facility | | $12.20 | $13.55 | $16.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $24.28
| Professional | | $5.25 | $8.13 | $24.28 |