- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.00 / $69.97 / $141.75
| Facility | | $20.00 | $69.97 | $141.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $12.84 / $13.66
| Professional | | $12.23 | $12.84 | $13.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $25.02 / $95.00
| Facility | | $13.12 | $25.02 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $14.38 / $50.00
| Professional | | $8.63 | $14.38 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.18 / $40.14 / $70.18
| Facility | | $22.18 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $13.52 / $14.67
| Professional | | $13.52 | $13.52 | $14.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $21.36 / $49.14
| Facility | | $10.05 | $21.36 | $49.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $13.37 / $24.41
| Professional | | $8.74 | $13.37 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $83.43 / $6,679.00
| Facility | | $17.11 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $18.95 / $24.16
| Professional | | $14.67 | $18.95 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $19.93 / $57.01
| Professional | | $14.38 | $19.93 | $57.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.95 / $18.04 / $80.51
| Facility | | $14.95 | $18.04 | $80.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.02 / $95.00 / $95.00
| Facility | | $25.02 | $95.00 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $9.61 / $50.00
| Professional | | $6.90 | $9.61 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $14.67 / $23.21
| Facility | | $11.84 | $14.67 | $23.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $13.02 / $15.56
| Professional | | $11.73 | $13.02 | $15.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $9.61 / $50.00
| Professional | | $6.90 | $9.61 | $50.00 |