- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.56 / $94.96 / $298.82
| Facility | | $45.56 | $94.96 | $298.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.67 / $24.27 / $24.63
| Professional | | $23.67 | $24.27 | $24.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.78 / $47.28 / $129.72
| Facility | | $24.78 | $47.28 | $129.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $27.17 / $66.18
| Professional | | $16.30 | $27.17 | $66.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.84 / $76.18 / $133.18
| Facility | | $47.84 | $76.18 | $133.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.54 / $25.54 / $34.75
| Professional | | $25.54 | $25.54 | $34.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $40.36 / $92.85
| Facility | | $18.98 | $40.36 | $92.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.44 / $30.03 / $46.10
| Professional | | $16.44 | $30.03 | $46.10 |
- 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
- $39.21 / $39.21 / $46.13
| Professional | | $39.21 | $39.21 | $46.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.17 / $37.65 / $101.14
| Professional | | $27.17 | $37.65 | $101.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.99 / $39.68 / $153.00
| Facility | | $31.99 | $39.68 | $153.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.28 / $129.72 / $129.72
| Facility | | $47.28 | $129.72 | $129.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.04 / $18.22 / $57.35
| Professional | | $13.04 | $18.22 | $57.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.17 / $32.47 / $44.58
| Facility | | $27.17 | $32.47 | $44.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.96 / $28.01 / $34.35
| Professional | | $23.96 | $28.01 | $34.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $22.05 / $51.79
| Professional | | $12.23 | $22.05 | $51.79 |