- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.05 / $76.95 / $232.25
| Facility | | $24.05 | $76.95 | $232.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.69 / $22.45 / $24.05
| Professional | | $21.69 | $22.45 | $24.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.04 / $48.68 / $120.30
| Facility | | $23.04 | $48.68 | $120.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.15 / $25.25 / $61.50
| Professional | | $15.15 | $25.25 | $61.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.76 / $71.27 / $124.60
| Facility | | $44.76 | $71.27 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.74 / $23.74 / $32.29
| Professional | | $23.74 | $23.74 | $32.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $37.49 / $86.27
| Facility | | $17.64 | $37.49 | $86.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $27.92 / $42.49
| Professional | | $15.20 | $27.92 | $42.49 |
- 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
- $36.40 / $36.40 / $42.83
| Professional | | $36.40 | $36.40 | $42.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.25 / $35.00 / $94.00
| Professional | | $25.25 | $35.00 | $94.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.74 / $32.90 / $58.37
| Facility | | $29.74 | $32.90 | $58.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.68 / $120.30 / $120.30
| Facility | | $48.68 | $120.30 | $120.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $16.93 / $53.30
| Professional | | $12.12 | $16.93 | $53.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $21.17 / $53.30
| Professional | | $12.12 | $21.17 | $53.30 |