- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.34 / $50.23 / $131.09
| Facility | | $20.34 | $50.23 | $131.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.07 / $19.91 / $40.36
| Professional | | $15.07 | $19.91 | $40.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.36 / $66.47 / $139.38
| Facility | | $33.36 | $66.47 | $139.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.80 / $37.67
| Professional | | $5.00 | $14.80 | $37.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.67 / $46.26 / $60.55
| Professional | | $37.67 | $46.26 | $60.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.91 / $26.91 / $26.91
| Facility | | $26.91 | $26.91 | $26.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $57.54 / $119.27
| Facility | | $22.12 | $57.54 | $119.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $17.04 / $42.50
| Professional | | $12.26 | $17.04 | $42.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.09 / $135.00 / $210.00
| Facility | | $80.09 | $135.00 | $210.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $362.00 / $362.00 / $362.00
| Professional | | $362.00 | $362.00 | $362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $30.99 / $54.42
| Facility | | $22.04 | $30.99 | $54.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.37 / $26.91 / $40.36
| Professional | | $25.37 | $26.91 | $40.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.48 / $32.29 / $60.55
| Professional | | $17.48 | $32.29 | $60.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.80 / $34.76 / $96.53
| Facility | | $21.80 | $34.76 | $96.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $25.43 / $42.65
| Professional | | $12.66 | $25.43 | $42.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $16.14 / $39.72
| Professional | | $15.53 | $16.14 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $13.94 / $26.91
| Professional | | $10.76 | $13.94 | $26.91 |