- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.36 / $195.58 / $514.83
| Facility | | $65.36 | $195.58 | $514.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.95 / $66.48 / $89.75
| Professional | | $58.95 | $66.48 | $89.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.62 / $92.08 / $218.96
| Facility | | $59.62 | $92.08 | $218.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $68.63 / $259.19
| Professional | | $39.22 | $68.63 | $259.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.31 / $183.48 / $320.77
| Facility | | $128.31 | $183.48 | $320.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.70 / $83.61 / $83.61
| Professional | | $64.70 | $83.61 | $83.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.98 / $89.21 / $148.68
| Facility | | $50.98 | $89.21 | $148.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.24 / $65.50 / $170.51
| Professional | | $39.24 | $65.50 | $170.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.29 / $94.29 / $110.93
| Professional | | $94.29 | $94.29 | $110.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.36 / $65.36 / $212.53
| Professional | | $65.36 | $65.36 | $212.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.19 / $141.78 / $219.70
| Facility | | $81.19 | $141.78 | $219.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.73 / $310.45 / $310.45
| Facility | | $113.73 | $310.45 | $310.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $53.50 / $326.80
| Professional | | $39.22 | $53.50 | $326.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $53.50 / $133.76
| Professional | | $39.22 | $53.50 | $133.76 |