- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.72 / $111.62 / $164.24
| Facility | | $24.72 | $111.62 | $164.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $22.97 / $27.92
| Professional | | $22.39 | $22.97 | $27.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.38 / $164.11 / $8,639.91
| Facility | | $126.38 | $164.11 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.68 / $22.68 / $22.68
| Professional | | $22.68 | $22.68 | $22.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.11 / $37.79 / $96.71
| Facility | | $19.11 | $37.79 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $32.90 / $44.01
| Professional | | $15.69 | $32.90 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $18.57 / $39.36
| Professional | | $13.38 | $18.57 | $39.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.94 / $57.92 / $150.94
| Facility | | $32.94 | $57.92 | $150.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.72 / $79.06 / $121.60
| Facility | | $24.72 | $79.06 | $121.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.94 / $23.55 / $120.10
| Professional | | $20.94 | $23.55 | $120.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $38.72 / $96.71
| Facility | | $19.47 | $38.72 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $32.90 / $44.01
| Professional | | $15.69 | $32.90 | $44.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.08 / $29.08 / $29.08
| Facility | | $29.08 | $29.08 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.59 / $29.08 / $35.67
| Professional | | $25.59 | $29.08 | $35.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $18.03 / $54.27
| Professional | | $12.21 | $18.03 | $54.27 |