- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $19.22 / $260.10
| Facility | | $15.14 | $19.22 | $260.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $18.48 / $24.02
| Professional | | $13.73 | $18.48 | $24.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.84 / $42.10 / $241.21
| Facility | | $29.84 | $42.10 | $241.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $23.29 / $162.76
| Professional | | $11.22 | $23.29 | $162.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.51 / $228.40 / $413.78
| Facility | | $165.51 | $228.40 | $413.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $18.55 / $49.69
| Facility | | $1.01 | $18.55 | $49.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $19.25 / $51.16
| Professional | | $10.16 | $19.25 | $51.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.94 / $22.94 / $94.55
| Professional | | $22.94 | $22.94 | $94.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.04 / $141.04 / $141.04
| Facility | | $141.04 | $141.04 | $141.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.97 / $118.24 / $118.24
| Facility | | $35.97 | $118.24 | $118.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $17.69 / $162.76
| Professional | | $10.53 | $17.69 | $162.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $16.03 / $25.01
| Professional | | $3.27 | $16.03 | $25.01 |