- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.03 / $181.37 / $288.19
| Facility | | $54.03 | $181.37 | $288.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.02 / $69.37 / $79.79
| Professional | | $48.02 | $69.37 | $79.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.27 / $436.67 / $8,639.91
| Facility | | $336.27 | $436.67 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.03 / $52.03 / $52.03
| Professional | | $52.03 | $52.03 | $52.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.84 / $88.83 / $221.67
| Facility | | $43.84 | $88.83 | $221.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.26 / $76.41 / $119.33
| Professional | | $44.26 | $76.41 | $119.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.68 / $53.36 / $90.31
| Professional | | $30.68 | $53.36 | $90.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $865.16 / $865.16 / $865.16
| Facility | | $865.16 | $865.16 | $865.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.70 / $182.62 / $611.13
| Facility | | $56.70 | $182.62 | $611.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.02 / $69.37 / $275.47
| Professional | | $48.02 | $69.37 | $275.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.66 / $100.65 / $221.67
| Facility | | $44.66 | $100.65 | $221.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.26 / $76.41 / $119.33
| Professional | | $44.26 | $76.41 | $119.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.70 / $66.70 / $66.70
| Facility | | $66.70 | $66.70 | $66.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.70 / $66.70 / $94.92
| Professional | | $58.70 | $66.70 | $94.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.02 / $41.35 / $122.06
| Professional | | $30.02 | $41.35 | $122.06 |