- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $341.44
| Facility | | $36.31 | $36.31 | $341.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.42 / $26.10 / $36.31
| Professional | | $18.42 | $26.10 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $13.82 / $131.62
| Professional | | $13.82 | $13.82 | $131.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.28 / $71.61 / $109.85
| Facility | | $61.28 | $71.61 | $109.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.47 / $77.17 / $102.50
| Professional | | $17.47 | $77.17 | $102.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.54 / $26.38 / $49.42
| Facility | | $17.54 | $26.38 | $49.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.38 / $27.51 / $50.83
| Facility | | $18.38 | $27.51 | $50.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $19.30 / $206.17
| Professional | | $9.63 | $19.30 | $206.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $65.00 / $104.33
| Professional | | $50.00 | $65.00 | $104.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.38 / $26.98 / $49.42
| Facility | | $18.38 | $26.98 | $49.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.40 / $56.00 / $80.63
| Professional | | $35.40 | $56.00 | $80.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.04 / $140.10 / $140.10
| Facility | | $35.04 | $140.10 | $140.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.30 / $160.94 / $206.17
| Professional | | $17.30 | $160.94 | $206.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.97 / $108.88 / $108.88
| Professional | | $53.97 | $108.88 | $108.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $19.30 / $46.85
| Professional | | $11.49 | $19.30 | $46.85 |