- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.87 / $105.59 / $283.68
| Facility | | $43.87 | $105.59 | $283.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $24.96 / $33.53
| Professional | | $19.55 | $24.96 | $33.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.48 / $48.62 / $133.26
| Facility | | $25.48 | $48.62 | $133.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $27.94 / $68.06
| Professional | | $16.76 | $27.94 | $68.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.38 / $78.64 / $137.47
| Facility | | $49.38 | $78.64 | $137.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.26 / $26.26 / $35.74
| Professional | | $26.26 | $26.26 | $35.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.52 / $41.50 / $95.49
| Facility | | $19.52 | $41.50 | $95.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.86 / $31.80 / $62.05
| Professional | | $16.86 | $31.80 | $62.05 |
- 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
- $40.13 / $40.13 / $47.22
| Professional | | $40.13 | $40.13 | $47.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.94 / $38.72 / $103.98
| Professional | | $27.94 | $38.72 | $103.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.87 / $36.40 / $337.68
| Facility | | $30.87 | $36.40 | $337.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.62 / $133.26 / $133.26
| Facility | | $48.62 | $133.26 | $133.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $21.58 / $66.61
| Professional | | $13.41 | $21.58 | $66.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.01 / $33.53 / $62.14
| Facility | | $27.01 | $33.53 | $62.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.64 / $28.81 / $35.34
| Professional | | $24.64 | $28.81 | $35.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $20.96 / $58.98
| Professional | | $13.41 | $20.96 | $58.98 |