- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.54 / $76.93 / $104.20
| Facility | | $24.54 | $76.93 | $104.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.05 / $24.54 / $34.19
| Professional | | $23.05 | $24.54 | $34.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.18 / $59.49 / $162.40
| Facility | | $26.18 | $59.49 | $162.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.51 / $34.19 / $83.28
| Professional | | $20.51 | $34.19 | $83.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.06 / $53.05 / $94.03
| Facility | | $35.06 | $53.05 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.14 / $32.14 / $33.85
| Professional | | $32.14 | $32.14 | $33.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.47 / $24.12 / $77.77
| Facility | | $22.47 | $24.12 | $77.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $39.24 / $52.14
| Professional | | $18.57 | $39.24 | $52.14 |
- 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
- $49.48 / $49.48 / $58.21
| Professional | | $49.48 | $49.48 | $58.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.19 / $47.39 / $117.45
| Professional | | $34.19 | $47.39 | $117.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $17.16 / $27.35
| Facility | | $17.16 | $17.16 | $27.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.49 / $162.40 / $162.40
| Facility | | $59.49 | $162.40 | $162.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.68 / $20.51 / $61.36
| Professional | | $13.68 | $20.51 | $61.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.36 / $21.04 / $52.59
| Professional | | $14.36 | $21.04 | $52.59 |