- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.16 / $179.26 / $409.38
| Facility | | $64.16 | $179.26 | $409.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.71 / $60.62 / $74.09
| Professional | | $58.71 | $60.62 | $74.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.44 / $117.21 / $321.95
| Facility | | $61.44 | $117.21 | $321.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.42 / $67.36 / $164.08
| Professional | | $40.42 | $67.36 | $164.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.82 / $189.22 / $330.80
| Facility | | $118.82 | $189.22 | $330.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.32 / $63.32 / $86.16
| Professional | | $63.32 | $63.32 | $86.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.07 / $100.05 / $230.13
| Facility | | $47.07 | $100.05 | $230.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.59 / $74.47 / $116.58
| Professional | | $40.59 | $74.47 | $116.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.08 / $97.08 / $114.21
| Professional | | $97.08 | $97.08 | $114.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.36 / $93.36 / $250.71
| Professional | | $67.36 | $93.36 | $250.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.73 / $87.78 / $230.90
| Facility | | $73.73 | $87.78 | $230.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.21 / $321.95 / $321.95
| Facility | | $117.21 | $321.95 | $321.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $45.17 / $142.19
| Professional | | $32.33 | $45.17 | $142.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $80.92 / $157.94
| Facility | | $59.40 | $80.92 | $157.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.40 / $68.81 / $85.18
| Professional | | $59.40 | $68.81 | $85.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $45.17 / $128.38
| Professional | | $32.33 | $45.17 | $128.38 |