- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $45.34 / $90.67
| Facility | | $10.91 | $45.34 | $90.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $22.72 / $71.20
| Professional | | $10.81 | $22.72 | $71.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $32.31 / $78.61
| Facility | | $12.23 | $32.31 | $78.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $16.55 / $36.07
| Professional | | $14.00 | $16.55 | $36.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.18 / $37.68 / $65.88
| Facility | | $22.18 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.65 / $15.56 / $16.38
| Professional | | $14.65 | $15.56 | $16.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $20.23 / $40.99
| Facility | | $11.39 | $20.23 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $17.76 / $25.30
| Professional | | $8.67 | $17.76 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.88 / $53.00 / $6,679.00
| Facility | | $16.88 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.88 / $21.80 / $28.00
| Professional | | $16.88 | $21.80 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $22.94 / $53.29
| Professional | | $16.55 | $22.94 | $53.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $29.84 / $41.38
| Facility | | $21.20 | $29.84 | $41.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $78.61 / $78.61
| Facility | | $32.31 | $78.61 | $78.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $16.55 / $24.18
| Professional | | $8.03 | $16.55 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.51 / $18.21 / $38.82
| Facility | | $13.51 | $18.21 | $38.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.00 / $125.00 / $125.00
| Professional | | $125.00 | $125.00 | $125.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $16.55 / $24.18
| Professional | | $9.93 | $16.55 | $24.18 |