- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $19.50 / $112.00
| Facility | | $11.27 | $19.50 | $112.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $14.08 / $18.37
| Professional | | $9.99 | $14.08 | $18.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.98 / $22.98 / $22.98
| Professional | | $22.98 | $22.98 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.93 / $26.93 / $26.93
| Facility | | $26.93 | $26.93 | $26.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $11.73 / $11.73
| Professional | | $11.73 | $11.73 | $11.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.13 / $31.11 / $33.32
| Professional | | $24.13 | $31.11 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.90 / $91.42 / $116.87
| Facility | | $36.90 | $91.42 | $116.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $19.50 / $112.00
| Facility | | $11.27 | $19.50 | $112.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $14.08 / $21.73
| Professional | | $10.72 | $14.08 | $21.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,505.01 / $1,505.01 / $1,505.01
| Facility | | $1,505.01 | $1,505.01 | $1,505.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.60 / $28.50 / $45.30
| Professional | | $15.60 | $28.50 | $45.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.93 / $26.93 / $26.93
| Facility | | $26.93 | $26.93 | $26.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $11.73 / $11.73
| Professional | | $11.73 | $11.73 | $11.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.41 / $17.26 / $21.87
| Facility | | $16.41 | $17.26 | $21.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $21.87 / $21.87
| Professional | | $16.41 | $21.87 | $21.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $11.57 / $19.10
| Professional | | $8.78 | $11.57 | $19.10 |