- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.74 / $238.67 / $506.18
| Facility | | $51.74 | $238.67 | $506.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.40 / $58.64 / $189.72
| Professional | | $36.40 | $58.64 | $189.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.72 / $118.26 / $312.00
| Facility | | $53.72 | $118.26 | $312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.21 / $38.61 / $106.24
| Professional | | $24.21 | $38.61 | $106.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.30 / $100.00 / $621.89
| Facility | | $59.30 | $100.00 | $621.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.39 / $43.41 / $100.00
| Professional | | $30.39 | $43.41 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.94 / $64.38 / $164.13
| Facility | | $33.94 | $64.38 | $164.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.04 / $59.64 / $87.34
| Professional | | $32.04 | $59.64 | $87.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.58 / $49.03 / $78.45
| Professional | | $43.58 | $49.03 | $78.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $49.03 / $107.87
| Professional | | $39.22 | $49.03 | $107.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.00 / $233.52 / $368.90
| Facility | | $131.00 | $233.52 | $368.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.41 / $29.41 / $29.41
| Professional | | $29.41 | $29.41 | $29.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.67 / $57.26 / $140.63
| Facility | | $40.67 | $57.26 | $140.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.69 / $49.03 / $98.06
| Professional | | $32.69 | $49.03 | $98.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.09 / $172.09 / $172.09
| Professional | | $172.09 | $172.09 | $172.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $49.03 / $68.64
| Professional | | $39.22 | $49.03 | $68.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.59 / $29.16 / $97.56
| Professional | | $20.59 | $29.16 | $97.56 |