- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.70 / $256.02 / $910.74
| Facility | | $26.70 | $256.02 | $910.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.02 / $26.07 / $30.62
| Professional | | $23.02 | $26.07 | $30.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $15.84 / $27.32
| Professional | | $9.76 | $15.84 | $27.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $100.00 / $100.00
| Facility | | $60.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.00 / $100.00 / $100.00
| Professional | | $73.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.46 / $78.44 / $198.10
| Facility | | $25.46 | $78.44 | $198.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $31.80 / $126.28
| Professional | | $6.54 | $31.80 | $126.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $16.76 / $332.00
| Facility | | $7.50 | $16.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $7.67 / $34.70
| Professional | | $5.93 | $7.67 | $34.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $29.00 / $41.01
| Professional | | $18.20 | $29.00 | $41.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $44.66 / $389.94
| Facility | | $10.41 | $44.66 | $389.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.25 / $94.32 / $254.50
| Facility | | $21.25 | $94.32 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $24.10 / $39.75
| Professional | | $12.87 | $24.10 | $39.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $16.45 / $58.50
| Professional | | $10.44 | $16.45 | $58.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.41 / $39.22 / $39.22
| Facility | | $23.41 | $39.22 | $39.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $34.17 / $41.01
| Professional | | $18.20 | $34.17 | $41.01 |