- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.57 / $21.26 / $182.61
| Professional | | $13.57 | $21.26 | $182.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $25.54 / $61.32
| Professional | | $14.04 | $25.54 | $61.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.54 / $23.98 / $66.98
| Professional | | $17.54 | $23.98 | $66.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.97 / $35.97 / $35.97
| Facility | | $35.97 | $35.97 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $15.16 / $50.59
| Professional | | $10.86 | $15.16 | $50.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.52 / $40.17 / $58.43
| Professional | | $36.52 | $40.17 | $58.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.01 / $34.45 / $56.00
| Professional | | $28.01 | $34.45 | $56.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.98 / $131.69 / $152.00
| Facility | | $71.98 | $131.69 | $152.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $214.00 / $214.00 / $242.10
| Professional | | $214.00 | $214.00 | $242.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.76 / $26.72
| Professional | | $13.18 | $13.76 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.88 / $38.40 / $67.50
| Facility | | $22.88 | $38.40 | $67.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $27.60 / $75.05
| Professional | | $11.00 | $27.60 | $75.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.67 / $99.67 / $99.67
| Professional | | $99.67 | $99.67 | $99.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.00 / $105.00 / $105.00
| Facility | | $105.00 | $105.00 | $105.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $17.07 / $75.36
| Professional | | $12.70 | $17.07 | $75.36 |