- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.61 / $108.16 / $321.14
| Facility | | $33.61 | $108.16 | $321.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.89 / $64.92 / $69.23
| Professional | | $22.89 | $64.92 | $69.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.21 / $43.82 / $121.47
| Facility | | $23.21 | $43.82 | $121.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $25.45 / $53.14
| Professional | | $12.22 | $25.45 | $53.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $68.78 / $124.60
| Facility | | $26.60 | $68.78 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $23.92 / $25.20
| Professional | | $17.60 | $23.92 | $25.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.72 / $37.09 / $86.92
| Facility | | $16.72 | $37.09 | $86.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $23.71 / $42.94
| Professional | | $15.20 | $23.71 | $42.94 |
- 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
- $36.86 / $36.86 / $43.38
| Professional | | $36.86 | $36.86 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $35.27 / $90.78
| Professional | | $25.45 | $35.27 | $90.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.97 / $60.79 / $321.37
| Facility | | $29.97 | $60.79 | $321.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.28 / $121.47 / $121.47
| Facility | | $44.28 | $121.47 | $121.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $15.27 / $42.65
| Professional | | $11.53 | $15.27 | $42.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $19.94 / $30.58
| Facility | | $14.19 | $19.94 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $22.44 / $27.54
| Professional | | $14.06 | $22.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $15.27 / $45.55
| Professional | | $11.45 | $15.27 | $45.55 |