- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.65 / $56.28 / $522.53
| Facility | | $33.65 | $56.28 | $522.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.46 / $16.64 / $36.86
| Professional | | $13.46 | $16.64 | $36.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $44.20 / $90.35
| Facility | | $17.62 | $44.20 | $90.35 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $3.03 / $7.88 / $7.88
| Facility | AS | $3.03 | $7.88 | $7.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.73 / $22.92 / $48.94
| Professional | | $14.73 | $22.92 | $48.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.51 / $18.51 / $21.89
| Professional | | $18.51 | $18.51 | $21.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.28 / $14.28 / $14.28
| Professional | | $14.28 | $14.28 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.84 / $60.00 / $6,679.00
| Facility | | $18.84 | $60.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.16 / $22.59 / $33.90
| Professional | | $18.16 | $22.59 | $33.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $27.64 / $42.80
| Professional | | $16.07 | $27.64 | $42.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.00 / $47.00 / $51.28
| Facility | | $47.00 | $47.00 | $51.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.82 / $27.55 / $47.00
| Professional | | $21.82 | $27.55 | $47.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.48 / $80.48
| Facility | | $80.00 | $80.48 | $80.48 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $3.03 / $7.88 / $7.88
| Facility | AS | $3.03 | $7.88 | $7.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.30 / $27.17 / $94.23
| Professional | | $18.30 | $27.17 | $94.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.98 / $30.38 / $30.69
| Professional | | $24.98 | $30.38 | $30.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.68 / $23.24 / $41.41
| Professional | | $17.68 | $23.24 | $41.41 |