- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $88.87 / $162.11
| Facility | | $16.80 | $88.87 | $162.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $24.99 / $92.00
| Professional | | $14.34 | $24.99 | $92.00 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $22.78 / $57.00 / $80.00
| Professional | 25 | $22.78 | $57.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $36.40 / $101.68
| Facility | | $16.05 | $36.40 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $31.93 / $358.00
| Professional | | $15.50 | $31.93 | $358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.76 / $46.30 / $61.50
| Facility | | $38.76 | $46.30 | $61.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.23 / $25.22 / $34.89
| Professional | | $16.23 | $25.22 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.63 / $25.46 / $62.73
| Facility | | $24.63 | $25.46 | $62.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $31.72 / $52.83
| Professional | | $16.89 | $31.72 | $52.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.63 / $31.20 / $8,090.00
| Facility | | $14.63 | $31.20 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $15.85 / $27.46
| Professional | | $8.60 | $15.85 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.61 / $32.53 / $58.47
| Professional | | $17.61 | $32.53 | $58.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.15 / $97.15 / $97.15
| Facility | | $97.15 | $97.15 | $97.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $24.24 / $45.48
| Professional | | $16.37 | $24.24 | $45.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.28 / $101.68 / $101.68
| Facility | | $31.28 | $101.68 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $33.68 / $358.00
| Professional | | $19.05 | $33.68 | $358.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $18.62 / $30.02
| Professional | | $14.83 | $18.62 | $30.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.98 / $30.48 / $48.60
| Professional | | $17.98 | $30.48 | $48.60 |