- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $82.45 / $182.52
| Facility | | $29.51 | $82.45 | $182.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.87 / $29.51 / $38.78
| Professional | | $27.87 | $29.51 | $38.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.26 / $53.91 / $152.00
| Facility | | $28.26 | $53.91 | $152.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.87 / $30.98 / $75.45
| Professional | | $14.87 | $30.98 | $75.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.53 / $86.83 / $151.80
| Facility | | $54.53 | $86.83 | $151.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.12 / $29.12 / $39.63
| Professional | | $29.12 | $29.12 | $39.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $46.00 / $105.85
| Facility | | $21.65 | $46.00 | $105.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $34.25 / $52.43
| Professional | | $18.73 | $34.25 | $52.43 |
- 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
- $44.81 / $44.81 / $52.72
| Professional | | $44.81 | $44.81 | $52.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $42.94 / $115.34
| Professional | | $30.98 | $42.94 | $115.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.85 / $27.85 / $302.17
| Facility | | $27.85 | $27.85 | $302.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.91 / $152.00 / $152.00
| Facility | | $53.91 | $152.00 | $152.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $18.59 / $65.39
| Professional | | $12.60 | $18.59 | $65.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $18.59 / $65.39
| Professional | | $12.60 | $18.59 | $65.39 |