- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $59.51 / $136.13
| Facility | | $13.92 | $59.51 | $136.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $15.40 / $96.45
| Professional | | $8.86 | $15.40 | $96.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $36.18 / $293.00
| Facility | | $16.44 | $36.18 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $10.39 / $30.75
| Professional | | $6.51 | $10.39 | $30.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.17 / $81.40 / $171.40
| Facility | | $35.17 | $81.40 | $171.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $11.68 / $72.00
| Professional | | $8.18 | $11.68 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $19.41 / $49.09
| Facility | | $9.75 | $19.41 | $49.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.93 / $26.50
| Professional | | $8.91 | $16.93 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $24.00
| Professional | | $12.00 | $15.00 | $24.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $32.70
| Professional | | $12.00 | $15.00 | $32.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $79.00 / $79.00
| Facility | | $55.00 | $79.00 | $79.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $7.50 / $7.50
| Professional | | $7.50 | $7.50 | $7.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.98 / $16.77 / $39.79
| Facility | | $10.98 | $16.77 | $39.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $15.00 / $28.52
| Professional | | $9.68 | $15.00 | $28.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.65 / $52.65 / $52.65
| Professional | | $52.65 | $52.65 | $52.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.00 / $21.00
| Professional | | $12.00 | $15.00 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $7.85 / $25.30
| Professional | | $6.30 | $7.85 | $25.30 |