- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $199.53 / $457.09
| Facility | | $72.44 | $199.53 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $52.48 / $199.53
| Professional | | $47.86 | $52.48 | $199.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $83.18 / $346.74
| Facility | | $53.70 | $83.18 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $72.44 / $151.36
| Professional | | $43.65 | $72.44 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $91.20 / $144.54
| Facility | | $72.44 | $91.20 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $67.61 / $70.79
| Professional | | $67.61 | $67.61 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $56.23 / $114.82
| Facility | | $47.86 | $56.23 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $87.10 / $109.65
| Professional | | $38.90 | $87.10 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $3,630.78 / $9,772.37
| Facility | | $56.23 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $104.71 / $123.03
| Professional | | $104.71 | $104.71 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $165.96
| Professional | | $72.44 | $72.44 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $120.23 / $263.03
| Facility | | $67.61 | $120.23 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $83.18 / $346.74
| Facility | | $53.70 | $83.18 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $72.44 / $151.36
| Professional | | $43.65 | $72.44 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $70.79 / $112.20
| Professional | | $53.70 | $70.79 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $72.44 / $87.10
| Facility | | $39.81 | $72.44 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $56.23 / $154.88
| Professional | | $32.36 | $56.23 | $154.88 |