- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.59 / $173.51 / $397.16
| Facility | | $64.59 | $173.51 | $397.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.31 / $45.76 / $48.44
| Professional | | $44.31 | $45.76 | $48.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.39 / $88.50 / $242.94
| Facility | | $46.39 | $88.50 | $242.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.41 / $50.86 / $123.88
| Professional | | $24.41 | $50.86 | $123.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.50 / $142.53 / $249.18
| Facility | | $89.50 | $142.53 | $249.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.81 / $47.81 / $65.05
| Professional | | $47.81 | $47.81 | $65.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.54 / $75.52 / $173.76
| Facility | | $35.54 | $75.52 | $173.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.60 / $56.22 / $85.87
| Professional | | $30.60 | $56.22 | $85.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.09 / $3,472.00 / $9,239.00
| Facility | | $73.09 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.28 / $73.28 / $86.21
| Professional | | $73.28 | $73.28 | $86.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.86 / $70.48 / $189.31
| Professional | | $50.86 | $70.48 | $189.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.47 / $66.27 / $386.95
| Facility | | $58.47 | $66.27 | $386.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.50 / $242.94 / $242.94
| Facility | | $88.50 | $242.94 | $242.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $30.52 / $107.34
| Professional | | $15.75 | $30.52 | $107.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.88 / $57.17 / $82.90
| Facility | | $51.88 | $57.17 | $82.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.85 / $52.45 / $64.33
| Professional | | $44.85 | $52.45 | $64.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $30.52 / $107.34
| Professional | | $15.75 | $30.52 | $107.34 |