- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.86 / $24.92 / $32.25
| Facility | | $19.86 | $24.92 | $32.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.86 / $25.58 / $123.00
| Professional | | $19.86 | $25.58 | $123.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.34 / $27.90 / $80.29
| Professional | | $21.34 | $27.90 | $80.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.20 / $46.20 / $46.20
| Facility | | $46.20 | $46.20 | $46.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.20 / $46.20 / $46.20
| Professional | | $46.20 | $46.20 | $46.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $36.29 / $36.29
| Facility | | $36.29 | $36.29 | $36.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.97 / $27.97 / $33.95
| Professional | | $27.97 | $27.97 | $33.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $38.43 / $332.00
| Facility | | $14.00 | $38.43 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.84 / $42.86 / $64.15
| Professional | | $35.84 | $42.86 | $64.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.98 / $31.78 / $64.34
| Professional | | $23.98 | $31.78 | $64.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $36.29 / $74,999.25
| Facility | | $36.29 | $36.29 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.97 / $32.01 / $81.00
| Professional | | $27.97 | $32.01 | $81.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,079.00 / $2,826.00 / $4,851.00
| Facility | | $1,079.00 | $2,826.00 | $4,851.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.58 / $38.34 / $84.38
| Professional | | $27.58 | $38.34 | $84.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.40 / $34.40 / $34.40
| Facility | | $34.40 | $34.40 | $34.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.07 / $34.40 / $64.34
| Professional | | $26.07 | $34.40 | $64.34 |