- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.96 / $58.90 / $80.58
| Facility | | $49.96 | $58.90 | $80.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $10.40 / $11.30
| Professional | | $2.88 | $10.40 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $15.65 / $90.00
| Facility | | $4.59 | $15.65 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.78 / $10.30 / $27.01
| Professional | | $4.78 | $10.30 | $27.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.73 / $8.67 / $14.33
| Facility | | $5.73 | $8.67 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.78 / $40.78 / $50.00
| Professional | | $40.78 | $40.78 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $3.95 / $4.69
| Professional | | $3.75 | $3.95 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.93 / $3,472.00 / $9,239.00
| Facility | | $29.93 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.93 / $14.93 / $17.57
| Professional | | $14.93 | $14.93 | $17.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $7.26 / $16.92
| Professional | | $7.26 | $7.26 | $16.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $90.00 / $90.00
| Facility | | $20.57 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $10.86 / $34.71
| Professional | | $8.24 | $10.86 | $34.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $5.01 / $20.32
| Facility | | $4.59 | $5.01 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $4.78 / $5.63
| Professional | | $4.55 | $4.78 | $5.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $10.51 / $40.99
| Professional | | $8.03 | $10.51 | $40.99 |