- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.54 / $114.26 / $240.67
| Facility | | $40.54 | $114.26 | $240.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $25.68 / $37.00
| Professional | | $20.72 | $25.68 | $37.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.01 / $51.50 / $141.54
| Facility | | $27.01 | $51.50 | $141.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.76 / $29.60 / $72.09
| Professional | | $17.76 | $29.60 | $72.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.96 / $82.74 / $144.65
| Facility | | $51.96 | $82.74 | $144.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.82 / $27.82 / $37.07
| Professional | | $27.82 | $27.82 | $37.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.69 / $43.99 / $101.18
| Facility | | $20.69 | $43.99 | $101.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $32.72 / $50.17
| Professional | | $17.89 | $32.72 | $50.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.94 / $42.94 / $50.51
| Professional | | $42.94 | $42.94 | $50.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.60 / $41.03 / $110.18
| Professional | | $29.60 | $41.03 | $110.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.57 / $38.58 / $141.30
| Facility | | $34.57 | $38.58 | $141.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.50 / $141.54 / $141.54
| Facility | | $51.50 | $141.54 | $141.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.21 / $19.85 / $62.49
| Professional | | $14.21 | $19.85 | $62.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.71 / $33.74 / $65.84
| Facility | | $28.71 | $33.74 | $65.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.41 / $32.03 / $44.40
| Professional | | $27.41 | $32.03 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $22.86 / $56.42
| Professional | | $14.68 | $22.86 | $56.42 |