- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $67.55 / $384.87
| Facility | | $15.47 | $67.55 | $384.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $10.96 / $18.02
| Professional | | $7.46 | $10.96 | $18.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.78 / $34.47 / $59.01
| Facility | | $21.78 | $34.47 | $59.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $14.76 / $23.97
| Professional | | $8.81 | $14.76 | $23.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.92 / $60.26 / $74.66
| Facility | | $41.92 | $60.26 | $74.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $20.05 / $92.00
| Professional | | $11.43 | $20.05 | $92.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $89.00 / $171.00
| Facility | | $80.00 | $89.00 | $171.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.41 / $45.00 / $45.00
| Professional | | $21.41 | $45.00 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $12.00 / $12.00
| Professional | | $12.00 | $12.00 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $13.02 / $20.32
| Professional | | $10.27 | $13.02 | $20.32 |