- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.08 / $530.84 / $997.63
| Facility | | $88.08 | $530.84 | $997.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.03 / $81.56 / $160.49
| Professional | | $57.03 | $81.56 | $160.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.68 / $66.81 / $133.05
| Professional | | $54.68 | $66.81 | $133.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.70 / $33.70 / $49.33
| Facility | | $33.70 | $33.70 | $49.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.70 / $49.33 / $83.03
| Professional | | $33.70 | $49.33 | $83.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.69 / $294.10 / $323.51
| Facility | | $177.69 | $294.10 | $323.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $130.80 / $339.40
| Professional | | $74.13 | $130.80 | $339.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.41 / $115.68 / $332.00
| Facility | | $73.41 | $115.68 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.56 / $85.65 / $154.24
| Professional | | $68.56 | $85.65 | $154.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.89 / $90.89 / $90.89
| Facility | | $90.89 | $90.89 | $90.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.29 / $109.07 / $237.15
| Professional | | $61.29 | $109.07 | $237.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.94 / $77.20 / $573.12
| Facility | | $66.94 | $77.20 | $573.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.69 / $294.10 / $398.02
| Facility | | $177.69 | $294.10 | $398.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.00 / $109.37 / $317.31
| Professional | | $55.00 | $109.37 | $317.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.29 / $113.21 / $243.04
| Professional | | $69.29 | $113.21 | $243.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.99 / $135.33 / $135.33
| Facility | | $95.99 | $135.33 | $135.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.93 / $158.49 / $322.14
| Professional | | $92.93 | $158.49 | $322.14 |