- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $114.42 / $258.45
| Facility | | $23.77 | $114.42 | $258.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.25 / $23.77 / $49.88
| Professional | | $22.25 | $23.77 | $49.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.86 / $72.68 / $275.00
| Facility | | $30.86 | $72.68 | $275.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.93 / $40.11 / $87.22
| Professional | | $20.93 | $40.11 | $87.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.45 / $100.54 / $166.13
| Facility | | $66.45 | $100.54 | $166.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.92 / $39.26 / $41.35
| Professional | | $31.92 | $39.26 | $41.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.15 / $49.73 / $95.03
| Facility | | $27.15 | $49.73 | $95.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.25 / $27.60 / $63.50
| Professional | | $18.25 | $27.60 | $63.50 |
- 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
- $60.21 / $60.21 / $70.83
| Professional | | $60.21 | $60.21 | $70.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.77 / $57.89 / $134.50
| Professional | | $41.77 | $57.89 | $134.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.23 / $43.22 / $110.38
| Facility | | $30.23 | $43.22 | $110.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.68 / $275.00 / $275.00
| Facility | | $72.68 | $275.00 | $275.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.71 / $25.06 / $52.68
| Professional | | $16.71 | $25.06 | $52.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.71 / $25.06 / $52.68
| Professional | | $16.71 | $25.06 | $52.68 |