- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $64.84 / $173.53
| Facility | | $23.22 | $64.84 | $173.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.09 / $23.22 / $27.78
| Professional | | $21.09 | $23.22 | $27.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.23 / $42.40 / $144.75
| Facility | | $22.23 | $42.40 | $144.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.70 / $24.37 / $59.36
| Professional | | $11.70 | $24.37 | $59.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.70 / $68.00 / $118.88
| Facility | | $42.70 | $68.00 | $118.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $31.18
| Professional | | $22.91 | $22.91 | $31.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.03 / $36.19 / $83.29
| Facility | | $17.03 | $36.19 | $83.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $26.94 / $41.13
| Professional | | $14.57 | $26.94 | $41.13 |
- 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
- $35.01 / $35.01 / $41.18
| Professional | | $35.01 | $35.01 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.37 / $33.78 / $90.72
| Professional | | $24.37 | $33.78 | $90.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.70 / $30.57 / $31.76
| Facility | | $28.70 | $30.57 | $31.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.40 / $144.75 / $144.75
| Facility | | $42.40 | $144.75 | $144.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.62 / $51.45
| Professional | | $10.50 | $14.62 | $51.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.62 / $51.45
| Professional | | $10.50 | $14.62 | $51.45 |