- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.41 / $301.08 / $688.81
| Facility | | $70.41 | $301.08 | $688.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.36 / $72.17 / $258.05
| Professional | | $44.36 | $72.17 | $258.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.08 / $160.88 / $390.71
| Facility | | $73.08 | $160.88 | $390.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.94 / $52.54 / $135.05
| Professional | | $32.94 | $52.54 | $135.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.30 / $129.06 / $845.89
| Facility | | $59.30 | $129.06 | $845.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.34 / $59.06 / $109.25
| Professional | | $41.34 | $59.06 | $109.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.84 / $86.32 / $223.30
| Facility | | $45.84 | $86.32 | $223.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.29 / $81.36 / $118.66
| Professional | | $44.29 | $81.36 | $118.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.70 / $66.70 / $106.72
| Professional | | $66.70 | $66.70 | $106.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.36 / $66.70 / $146.74
| Professional | | $53.36 | $66.70 | $146.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.00 / $316.83 / $316.83
| Facility | | $140.00 | $316.83 | $316.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.35 / $33.35 / $33.35
| Professional | | $33.35 | $33.35 | $33.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.03 / $76.70 / $166.75
| Facility | | $50.03 | $76.70 | $166.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.29 / $66.70 / $133.40
| Professional | | $44.29 | $66.70 | $133.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.11 / $234.11 / $234.11
| Professional | | $234.11 | $234.11 | $234.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.36 / $66.70 / $93.38
| Professional | | $53.36 | $66.70 | $93.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.01 / $39.68 / $129.65
| Professional | | $28.01 | $39.68 | $129.65 |