- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.24 / $98.09 / $816.41
| Facility | | $41.24 | $98.09 | $816.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.98 / $76.25 / $143.82
| Professional | | $15.98 | $76.25 | $143.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $31.20 / $119.48
| Facility | | $16.36 | $31.20 | $119.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $17.93 / $43.67
| Professional | | $10.76 | $17.93 | $43.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $49.96 / $87.35
| Facility | | $31.38 | $49.96 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $22.95
| Professional | | $16.85 | $16.85 | $22.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $26.63 / $61.26
| Facility | | $12.53 | $26.63 | $61.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.82 / $30.28
| Professional | | $10.82 | $19.82 | $30.28 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.93 / $24.85 / $66.77
| Professional | | $17.93 | $24.85 | $66.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $123.72 / $210.33
| Facility | | $23.15 | $123.72 | $210.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.20 / $119.48 / $119.48
| Facility | | $31.20 | $119.48 | $119.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $11.55 / $37.85
| Professional | | $8.61 | $11.55 | $37.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.39 / $21.44 / $39.86
| Facility | | $17.39 | $21.44 | $39.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.81 / $18.48 / $22.68
| Professional | | $15.81 | $18.48 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $11.55 / $34.18
| Professional | | $8.61 | $11.55 | $34.18 |