- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.58 / $43.38 / $142.13
| Facility | | $26.58 | $43.38 | $142.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.44 / $35.95 / $93.80
| Professional | | $25.44 | $35.95 | $93.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.84 / $59.80 / $123.22
| Facility | | $26.84 | $59.80 | $123.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.57 / $38.00 / $166.47
| Professional | | $25.57 | $38.00 | $166.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.53 / $65.88 / $88.12
| Facility | | $55.53 | $65.88 | $88.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.00 / $29.00 / $29.00
| Facility | | $29.00 | $29.00 | $29.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.30 / $45.46 / $82.10
| Professional | | $28.30 | $45.46 | $82.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.45 / $53.00 / $6,679.00
| Facility | | $29.45 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.75 / $27.39 / $44.88
| Professional | | $14.75 | $27.39 | $44.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.72 / $55.46 / $80.34
| Professional | | $28.72 | $55.46 | $80.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.00 / $45.72 / $79.39
| Professional | | $39.00 | $45.72 | $79.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.71 / $123.22 / $123.22
| Facility | | $59.71 | $123.22 | $123.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.81 / $43.13 / $166.47
| Professional | | $30.81 | $43.13 | $166.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.96 / $23.97 / $38.27
| Professional | | $18.96 | $23.97 | $38.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.72 / $38.00 / $77.03
| Professional | | $30.72 | $38.00 | $77.03 |