- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $36.39 / $86.75
| Facility | | $10.45 | $36.39 | $86.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $11.84 / $86.75
| Professional | | $8.86 | $11.84 | $86.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.39 / $60.30 / $293.00
| Facility | | $27.39 | $60.30 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $11.70 / $28.21
| Professional | | $8.89 | $11.70 | $28.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.88 / $70.50 / $128.62
| Facility | | $28.88 | $70.50 | $128.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.76 / $30.51
| Professional | | $6.13 | $8.76 | $30.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.43 / $32.83 / $80.59
| Facility | | $12.43 | $32.83 | $80.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $25.88 / $34.69
| Professional | | $13.15 | $25.88 | $34.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.00 / $27.50 / $99.00
| Professional | | $25.00 | $27.50 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $25.00 / $43.75
| Professional | | $20.00 | $25.00 | $43.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $118.75 / $118.75
| Facility | | $85.00 | $118.75 | $118.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.50 / $23.50 / $55.75
| Facility | | $12.50 | $23.50 | $55.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $14.30 / $25.00
| Professional | | $9.94 | $14.30 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.75 / $56.75 / $56.75
| Professional | | $56.75 | $56.75 | $56.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $20.00 / $25.00
| Professional | | $20.00 | $20.00 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $15.00 / $42.16
| Professional | | $8.30 | $15.00 | $42.16 |