- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $69.18 / $117.49
| Facility | | $22.91 | $69.18 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $36.31 / $138.04
| Professional | | $21.38 | $36.31 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $107.15 / $208.93
| Facility | | $38.02 | $107.15 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $331.13
| Professional | | $24.55 | $38.02 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $70.79 / $100.00
| Facility | | $56.23 | $70.79 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $34.67 / $34.67
| Professional | | $30.90 | $34.67 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $44.67 / $85.11
| Facility | | $21.88 | $44.67 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $26.92 / $60.26
| Professional | | $16.22 | $26.92 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $54.95 / $7,079.46
| Facility | | $30.20 | $54.95 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $48.98 / $70.79
| Professional | | $38.02 | $48.98 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $56.23 / $93.33
| Professional | | $33.88 | $56.23 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $91.20 / $91.20
| Facility | | $91.20 | $91.20 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $107.15 / $208.93
| Facility | | $38.02 | $107.15 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $331.13
| Professional | | $24.55 | $38.02 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $38.90
| Facility | | $17.78 | $29.51 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $39.81 / $95.50
| Professional | | $20.42 | $39.81 | $95.50 |