- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $40.72 / $93.05
| Facility | | $14.57 | $40.72 | $93.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $14.57 / $26.18
| Professional | | $13.80 | $14.57 | $26.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.96 / $26.62 / $90.00
| Facility | | $13.96 | $26.62 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $15.30 / $37.27
| Professional | | $7.34 | $15.30 | $37.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $14.38 / $19.57
| Professional | | $14.38 | $14.38 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $22.76 / $52.31
| Facility | | $10.69 | $22.76 | $52.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.92 / $25.76
| Professional | | $9.16 | $16.92 | $25.76 |
- 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
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.30 / $21.21 / $56.95
| Professional | | $15.30 | $21.21 | $56.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $19.94 / $57.67
| Facility | | $16.11 | $19.94 | $57.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.62 / $90.00 / $90.00
| Facility | | $26.62 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.18 / $32.29
| Professional | | $5.25 | $9.18 | $32.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.18 / $29.16
| Professional | | $5.25 | $9.18 | $29.16 |