- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.33 / $197.11 / $332.61
| Facility | | $72.33 | $197.11 | $332.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.58 / $72.33 / $133.90
| Professional | | $70.58 | $72.33 | $133.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.39 / $136.16 / $386.85
| Facility | | $71.39 | $136.16 | $386.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.56 / $78.26 / $190.63
| Professional | | $37.56 | $78.26 | $190.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.86 / $219.53 / $383.80
| Facility | | $137.86 | $219.53 | $383.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.56 / $73.56 / $97.13
| Professional | | $73.56 | $73.56 | $97.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.69 / $110.48 / $254.18
| Facility | | $54.69 | $110.48 | $254.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.04 / $83.92 / $157.29
| Professional | | $47.04 | $83.92 | $157.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.59 / $3,472.00 / $9,239.00
| Facility | | $76.59 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.95 / $112.95 / $132.88
| Professional | | $112.95 | $112.95 | $132.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.26 / $108.47 / $290.64
| Professional | | $78.26 | $108.47 | $290.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.16 / $386.85 / $386.85
| Facility | | $136.16 | $386.85 | $386.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.45 / $46.96 / $160.26
| Professional | | $30.45 | $46.96 | $160.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.22 / $39.13 / $53.70
| Facility | | $35.22 | $39.13 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.45 / $46.96 / $140.10
| Professional | | $30.45 | $46.96 | $140.10 |