- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.27 / $265.44 / $556.37
| Facility | | $142.27 | $265.44 | $556.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.00 / $24.84 / $41.71
| Professional | | $19.00 | $24.84 | $41.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $58.47 / $221.97
| Facility | | $16.94 | $58.47 | $221.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $34.45 / $116.56
| Professional | | $17.64 | $34.45 | $116.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.39 / $107.31 / $187.60
| Facility | | $67.39 | $107.31 | $187.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.78 / $33.78 / $37.53
| Professional | | $33.78 | $33.78 | $37.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.42 / $44.79 / $101.49
| Facility | | $21.42 | $44.79 | $101.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.19 / $28.00 / $58.85
| Professional | | $22.19 | $28.00 | $58.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.48 / $56.48 / $66.45
| Professional | | $56.48 | $56.48 | $66.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.56 / $68.69 / $152.02
| Professional | | $49.56 | $68.69 | $152.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.50 / $54.58 / $361.19
| Facility | | $27.50 | $54.58 | $361.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.76 / $221.97 / $221.97
| Facility | | $77.76 | $221.97 | $221.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $28.59 / $66.72
| Professional | | $10.50 | $28.59 | $66.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $23.81 / $167.19
| Facility | | $16.94 | $23.81 | $167.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.79 / $18.63 / $72.20
| Professional | | $16.79 | $18.63 | $72.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $28.93 / $65.45
| Professional | | $10.50 | $28.93 | $65.45 |