- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.24 / $206.99 / $316.16
| Facility | | $61.24 | $206.99 | $316.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.10 / $61.24 / $94.50
| Professional | | $18.10 | $61.24 | $94.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.38 / $137.75 / $8,459.92
| Facility | | $103.38 | $137.75 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.97 / $58.97 / $58.97
| Professional | | $58.97 | $58.97 | $58.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.69 / $98.28 / $221.13
| Facility | | $49.69 | $98.28 | $221.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.95 / $37.50 / $108.93
| Professional | | $13.95 | $37.50 | $108.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.84 / $60.48 / $127.76
| Professional | | $24.84 | $60.48 | $127.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.00 / $686.00 / $686.00
| Facility | | $686.00 | $686.00 | $686.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.26 / $206.99 / $312.23
| Facility | | $64.26 | $206.99 | $312.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.79 / $61.24 / $312.23
| Professional | | $37.79 | $61.24 | $312.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.89 / $113.40 / $151.19
| Professional | | $111.89 | $113.40 | $151.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.61 / $109.93 / $251.01
| Facility | | $50.61 | $109.93 | $251.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.93 / $39.85 / $108.93
| Professional | | $13.93 | $39.85 | $108.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.92 / $75.59 / $75.59
| Facility | | $32.92 | $75.59 | $75.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.92 / $75.59 / $75.59
| Professional | | $32.92 | $75.59 | $75.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $45.36 / $138.35
| Professional | | $13.47 | $45.36 | $138.35 |