- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $71.28 / $348.63
| Facility | | $14.20 | $71.28 | $348.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $25.84 / $27.24
| Professional | | $11.27 | $25.84 | $27.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.03 / $15.03 / $73.20
| Facility | | $15.03 | $15.03 | $73.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $7.42 / $9.09
| Professional | | $7.42 | $7.42 | $9.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.52 / $68.04 / $101.85
| Professional | | $44.52 | $68.04 | $101.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $37.99 / $77.18
| Facility | | $10.51 | $37.99 | $77.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.14 / $16.93
| Professional | | $8.52 | $10.14 | $16.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $18.79 / $22.24
| Professional | | $18.04 | $18.79 | $22.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $13.11 / $17.79
| Facility | | $12.60 | $13.11 | $17.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $24.00 / $75.16
| Professional | | $19.95 | $24.00 | $75.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.69 / $21.00 / $4,071.00
| Facility | | $11.69 | $21.00 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.69 / $21.00 / $4,071.00
| Professional | | $11.69 | $21.00 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $15.03 / $25.84
| Facility | | $10.02 | $15.03 | $25.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.86 / $12.34
| Professional | | $6.31 | $8.86 | $12.34 |