- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $204.17 / $467.74
| Facility | | $5.13 | $204.17 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $10.00 / $144.54
| Professional | | $2.00 | $10.00 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.95 / $4.07
| Professional | | $2.45 | $2.95 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $4.68 / $5.37
| Facility | | $3.16 | $4.68 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.24 / $3.63
| Professional | | $2.69 | $3.24 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $2.95
| Facility | | $2.95 | $2.95 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $10.96
| Professional | | $2.95 | $2.95 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $114.82 / $114.82
| Professional | | $114.82 | $114.82 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $4.07 / $15.14
| Facility | | $2.75 | $4.07 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $87.10 / $87.10
| Professional | | $87.10 | $87.10 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $31,622.78
| Facility | | $2,344.23 | $2,344.23 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $3.98 / $30.20
| Professional | | $0.60 | $3.98 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $4.79 / $5.37
| Facility | | $3.55 | $4.79 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.09 / $3.63
| Professional | | $2.95 | $3.09 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $2,951.21 / $2,951.21
| Facility | | $2,951.21 | $2,951.21 | $2,951.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $537.03 / $537.03
| Professional | | $331.13 | $537.03 | $537.03 |