- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $46.08 / $209.84
| Facility | | $15.50 | $46.08 | $209.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $14.76 / $21.28
| Professional | | $13.50 | $14.76 | $21.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $26.97 / $101.29
| Facility | | $14.13 | $26.97 | $101.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $15.50 / $38.79
| Professional | | $10.39 | $15.50 | $38.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.26 / $43.41 / $75.90
| Facility | | $27.26 | $43.41 | $75.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $19.82
| Professional | | $14.57 | $14.57 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $24.18 / $59.85
| Facility | | $10.83 | $24.18 | $59.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $17.76 / $50.19
| Professional | | $9.36 | $17.76 | $50.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $21.48 / $57.69
| Professional | | $15.50 | $21.48 | $57.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $17.13 / $208.81
| Facility | | $16.55 | $17.13 | $208.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.97 / $101.29 / $101.29
| Facility | | $26.97 | $101.29 | $101.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $15.50 / $48.80
| Professional | | $8.42 | $15.50 | $48.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $15.50 / $32.72
| Professional | | $9.30 | $15.50 | $32.72 |