- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.18 / $262.64 / $525.08
| Facility | | $62.18 | $262.64 | $525.08 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $168.86 / $168.86 / $273.00
| Facility | 50 | $168.86 | $168.86 | $273.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.47 / $71.23 / $179.57
| Professional | | $38.47 | $71.23 | $179.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.68 / $267.02 / $2,713.00
| Facility | | $67.68 | $267.02 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.38 / $104.96 / $497.28
| Professional | | $47.38 | $104.96 | $497.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.63 / $62.49 / $111.56
| Facility | | $48.63 | $62.49 | $111.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.87 / $93.71 / $152.08
| Professional | | $57.87 | $93.71 | $152.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.86 / $88.00 / $162.79
| Professional | | $51.86 | $88.00 | $162.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $199.08 / $6,679.00
| Facility | | $48.98 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.31 / $97.99 / $135.94
| Professional | | $80.31 | $97.99 | $135.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.90 / $111.23 / $195.79
| Professional | | $52.90 | $111.23 | $195.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.04 / $183.76 / $297.16
| Facility | | $117.04 | $183.76 | $297.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.50 / $107.42 / $141.69
| Professional | | $59.50 | $107.42 | $141.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.78 / $141.00 / $497.28
| Professional | | $73.78 | $141.00 | $497.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.74 / $80.80 / $229.62
| Facility | | $31.74 | $80.80 | $229.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.40 / $103.60 / $207.23
| Professional | | $67.40 | $103.60 | $207.23 |