- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.30 / $209.76 / $686.81
| Facility | | $69.30 | $209.76 | $686.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.21 / $102.07 / $168.74
| Professional | | $60.21 | $102.07 | $168.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.36 / $102.49 / $249.01
| Facility | | $66.36 | $102.49 | $249.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $78.05 / $294.77
| Professional | | $44.60 | $78.05 | $294.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.63 / $203.98 / $356.60
| Facility | | $142.63 | $203.98 | $356.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.87 / $69.87 / $93.06
| Professional | | $69.87 | $69.87 | $93.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.97 / $101.45 / $169.09
| Facility | | $57.97 | $101.45 | $169.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.53 / $72.63 / $193.96
| Professional | | $44.53 | $72.63 | $193.96 |
- 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
- $107.36 / $107.36 / $126.30
| Professional | | $107.36 | $107.36 | $126.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.33 / $74.33 / $241.70
| Professional | | $74.33 | $74.33 | $241.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.91 / $177.32 / $691.26
| Facility | | $83.91 | $177.32 | $691.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.33 / $353.07 / $353.07
| Facility | | $129.33 | $353.07 | $353.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $59.55 / $371.65
| Professional | | $44.60 | $59.55 | $371.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $59.55 / $138.94
| Professional | | $44.60 | $59.55 | $138.94 |