- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.06 / $91.69 / $767.26
| Facility | | $36.06 | $91.69 | $767.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $51.71 / $196.04
| Professional | | $33.88 | $51.71 | $196.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $169.47 / $876.00
| Facility | | $19.14 | $169.47 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.83 / $52.78 / $119.66
| Professional | | $38.83 | $52.78 | $119.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.50 / $100.00 / $616.33
| Facility | | $57.50 | $100.00 | $616.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.54 / $55.63 / $123.44
| Professional | | $43.54 | $55.63 | $123.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.67 / $86.44 / $102.39
| Facility | | $76.67 | $86.44 | $102.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.34 / $56.22 / $157.22
| Professional | | $29.34 | $56.22 | $157.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.65 / $41.20 / $49.44
| Professional | | $28.65 | $41.20 | $49.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.25 / $45.54 / $91.00
| Professional | | $34.25 | $45.54 | $91.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.64 / $514.16 / $539.87
| Facility | | $71.64 | $514.16 | $539.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $787.00 / $787.00 / $787.00
| Professional | | $787.00 | $787.00 | $787.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.19 / $54.46 / $129.63
| Facility | | $37.19 | $54.46 | $129.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.36 / $61.30 / $130.90
| Professional | | $29.36 | $61.30 | $130.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.37 / $106.37 / $106.37
| Professional | | $106.37 | $106.37 | $106.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.31 / $45.80 / $133.66
| Professional | | $33.31 | $45.80 | $133.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.14 / $38.11 / $122.30
| Professional | | $30.14 | $38.11 | $122.30 |