- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $9.27 / $573.16
| Facility | | $7.87 | $9.27 | $573.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $13.70 / $84.74
| Professional | | $7.87 | $13.70 | $84.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $11.34 / $19.18
| Facility | | $9.52 | $11.34 | $19.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $13.03 / $27.32
| Professional | | $13.03 | $13.03 | $27.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.84 / $43.31 / $62.09
| Facility | | $30.84 | $43.31 | $62.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $74.23 / $100.00
| Professional | | $34.15 | $74.23 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $15.00
| Professional | | $15.00 | $15.00 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.38 / $32.32 / $39.65
| Professional | | $29.38 | $32.32 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.63 / $36.72 / $67.56
| Professional | | $17.63 | $36.72 | $67.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.64 / $138.01 / $139.56
| Facility | | $59.64 | $138.01 | $139.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.31 / $146.31 / $220.35
| Professional | | $146.31 | $146.31 | $220.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.22 / $60.22 / $60.22
| Professional | | $60.22 | $60.22 | $60.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.02 / $29.38 / $39.86
| Facility | | $21.02 | $29.38 | $39.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $31.10
| Professional | | $15.00 | $15.00 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.43 / $55.43 / $55.43
| Professional | | $55.43 | $55.43 | $55.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.36 / $21.30 / $26.44
| Professional | | $19.36 | $21.30 | $26.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $13.24 / $38.21
| Professional | | $11.72 | $13.24 | $38.21 |