- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.44 / $58.97 / $288.19
| Facility | | $18.44 | $58.97 | $288.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.75 / $17.46 / $33.74
| Professional | | $16.75 | $17.46 | $33.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $33.67 / $99.00
| Facility | | $17.66 | $33.67 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $19.35 / $47.13
| Professional | | $11.61 | $19.35 | $47.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $54.07 / $94.53
| Facility | | $33.95 | $54.07 | $94.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.19 / $18.19 / $24.76
| Professional | | $18.19 | $18.19 | $24.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $28.73 / $66.12
| Facility | | $13.52 | $28.73 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $21.40 / $32.54
| Professional | | $11.66 | $21.40 | $32.54 |
- 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
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.35 / $26.82 / $72.06
| Professional | | $19.35 | $26.82 | $72.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.79 / $49.91 / $159.25
| Facility | | $22.79 | $49.91 | $159.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.67 / $99.00 / $99.00
| Facility | | $33.67 | $99.00 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $12.98 / $40.85
| Professional | | $9.28 | $12.98 | $40.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $15.30 / $34.65
| Professional | | $9.28 | $15.30 | $34.65 |