- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.69 / $99.86 / $205.24
| Facility | | $35.69 | $99.86 | $205.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $25.09 / $28.10
| Professional | | $18.27 | $25.09 | $28.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.63 / $48.89 / $137.00
| Facility | | $25.63 | $48.89 | $137.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.86 / $28.10 / $68.45
| Professional | | $16.86 | $28.10 | $68.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.38 / $78.64 / $137.47
| Facility | | $49.38 | $78.64 | $137.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.41 / $26.41 / $34.76
| Professional | | $26.41 | $26.41 | $34.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.64 / $41.74 / $95.98
| Facility | | $19.64 | $41.74 | $95.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.86 / $30.04 / $47.46
| Professional | | $16.86 | $30.04 | $47.46 |
- 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
- $40.61 / $40.61 / $47.78
| Professional | | $40.61 | $40.61 | $47.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.10 / $38.95 / $104.03
| Professional | | $28.10 | $38.95 | $104.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.26 / $35.54 / $97.56
| Facility | | $25.26 | $35.54 | $97.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.89 / $137.00 / $137.00
| Facility | | $48.89 | $137.00 | $137.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $17.85 / $57.36
| Professional | | $13.49 | $17.85 | $57.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.02 / $33.72 / $64.06
| Facility | | $26.02 | $33.72 | $64.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.78 / $28.10 / $34.35
| Professional | | $24.78 | $28.10 | $34.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $17.85 / $53.56
| Professional | | $13.49 | $17.85 | $53.56 |