- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.70 / $138.36 / $926.32
| Facility | | $46.70 | $138.36 | $926.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.22 / $46.70 / $125.07
| Professional | | $44.22 | $46.70 | $125.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.72 / $100.90 / $368.90
| Facility | | $44.72 | $100.90 | $368.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.53 / $49.03 / $119.43
| Professional | | $23.53 | $49.03 | $119.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.42 / $137.62 / $240.60
| Facility | | $86.42 | $137.62 | $240.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.09 / $46.09 / $62.72
| Professional | | $46.09 | $46.09 | $62.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.27 / $72.81 / $167.49
| Facility | | $34.27 | $72.81 | $167.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.56 / $54.20 / $82.71
| Professional | | $29.56 | $54.20 | $82.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.45 / $3,472.00 / $9,239.00
| Facility | | $70.45 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.95 / $70.95 / $83.47
| Professional | | $70.95 | $70.95 | $83.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.03 / $67.95 / $182.47
| Professional | | $49.03 | $67.95 | $182.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.94 / $383.34 / $997.12
| Facility | | $57.94 | $383.34 | $997.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.90 / $368.90 / $368.90
| Facility | | $100.90 | $368.90 | $368.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $29.42 / $103.49
| Professional | | $16.80 | $29.42 | $103.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $29.42 / $103.49
| Professional | | $16.80 | $29.42 | $103.49 |