- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.87 / $38.14 / $101.45
| Facility | | $23.87 | $38.14 | $101.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.46 / $30.22 / $96.27
| Professional | | $19.46 | $30.22 | $96.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.02 / $60.90 / $142.51
| Professional | | $26.02 | $60.90 | $142.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.98 / $85.30 / $137.58
| Facility | | $72.98 | $85.30 | $137.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.03 / $65.59 / $110.26
| Professional | | $36.03 | $65.59 | $110.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.70 / $30.43 / $44.01
| Facility | | $21.70 | $30.43 | $44.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.34 / $30.36 / $42.84
| Facility | | $20.34 | $30.36 | $42.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.26 / $85.77 / $233.00
| Professional | | $31.26 | $85.77 | $233.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $66.72 / $94.05
| Professional | | $50.00 | $66.72 | $94.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.70 / $30.43 / $44.01
| Facility | | $21.70 | $30.43 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.24 / $62.59 / $93.12
| Professional | | $42.24 | $62.59 | $93.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.26 / $83.26 / $83.26
| Facility | | $83.26 | $83.26 | $83.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.93 / $117.18 / $240.54
| Professional | | $35.93 | $117.18 | $240.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.31 / $98.31 / $142.53
| Professional | | $98.31 | $98.31 | $142.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.56 / $129.38 / $193.17
| Professional | | $90.56 | $129.38 | $193.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.76 / $82.57 / $127.09
| Professional | | $30.76 | $82.57 | $127.09 |