- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.98 / $64.38 / $149.36
| Facility | | $24.98 | $64.38 | $149.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $14.21 / $15.91
| Professional | | $11.93 | $14.21 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $30.98 / $100.00
| Facility | | $14.51 | $30.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $15.91 / $38.75
| Professional | | $9.55 | $15.91 | $38.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.15 / $44.23 / $77.33
| Facility | | $27.15 | $44.23 | $77.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.96 / $14.96 / $18.96
| Professional | | $14.96 | $14.96 | $18.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $23.63 / $54.34
| Facility | | $11.12 | $23.63 | $54.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $16.38 / $27.12
| Professional | | $9.58 | $16.38 | $27.12 |
- 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
- $22.88 / $22.88 / $26.91
| Professional | | $22.88 | $22.88 | $26.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $22.05 / $56.90
| Professional | | $15.91 | $22.05 | $56.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.75 / $19.96 / $97.87
| Facility | | $16.75 | $19.96 | $97.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.98 / $100.00 / $100.00
| Facility | | $30.98 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $10.67 / $31.28
| Professional | | $7.64 | $10.67 | $31.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $18.21 / $29.05
| Facility | | $15.29 | $18.21 | $29.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $15.91 / $18.75
| Professional | | $14.03 | $15.91 | $18.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $9.55 / $30.33
| Professional | | $6.36 | $9.55 | $30.33 |