- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $45.10 / $150.88
| Facility | | $16.50 | $45.10 | $150.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $13.22 / $13.42
| Professional | | $8.86 | $13.22 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.50 / $29.65 / $162.06
| Facility | | $13.50 | $29.65 | $162.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $13.05 / $30.91
| Professional | | $7.10 | $13.05 | $30.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $40.31 / $73.03
| Facility | | $17.05 | $40.31 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.91 / $13.91 / $14.65
| Professional | | $11.91 | $13.91 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $21.98 / $50.55
| Facility | | $10.29 | $21.98 | $50.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $13.87 / $24.86
| Professional | | $8.94 | $13.87 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.31 / $3,472.00 / $9,239.00
| Facility | | $46.31 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.80 / $20.51 / $52.77
| Professional | | $14.80 | $20.51 | $52.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $17.42 / $154.97
| Facility | | $12.13 | $17.42 | $154.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $162.06 / $162.06
| Facility | | $36.29 | $162.06 | $162.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.88 / $24.82
| Professional | | $5.25 | $8.88 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.88 / $24.82
| Professional | | $5.25 | $8.88 | $24.82 |