- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.79 / $63.46 / $63.46
| Facility | | $23.79 | $63.46 | $63.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.05 / $47.11 / $70.06
| Professional | | $22.05 | $47.11 | $70.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $73.29 / $111.20
| Facility | | $25.74 | $73.29 | $111.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $70.42 / $240.76
| Professional | | $26.92 | $70.42 | $240.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $55.10 / $72.50
| Facility | | $32.40 | $55.10 | $72.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.52 / $71.48 / $119.15
| Professional | | $31.52 | $71.48 | $119.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.87 / $63.59 / $131.21
| Professional | | $27.87 | $63.59 | $131.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.66 / $53.00 / $8,090.00
| Facility | | $26.66 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.11 / $57.48 / $95.64
| Professional | | $32.11 | $57.48 | $95.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.85 / $65.54 / $144.69
| Professional | | $27.85 | $65.54 | $144.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.30 / $324.58 / $327.56
| Facility | | $319.30 | $324.58 | $327.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.66 / $49.40 / $66.70
| Professional | | $48.66 | $49.40 | $66.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.20 / $111.20 / $111.20
| Facility | | $111.20 | $111.20 | $111.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.70 / $99.64 / $326.08
| Professional | | $54.70 | $99.64 | $326.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.32 / $71.50 / $140.22
| Professional | | $48.32 | $71.50 | $140.22 |