- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.91 / $161.56 / $406.31
| Facility | | $84.91 | $161.56 | $406.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.82 / $54.02 / $61.98
| Professional | | $50.82 | $54.02 | $61.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.54 / $107.85 / $296.01
| Facility | | $56.54 | $107.85 | $296.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.73 / $61.98 / $150.97
| Professional | | $30.73 | $61.98 | $150.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.05 / $173.66 / $303.60
| Facility | | $109.05 | $173.66 | $303.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.26 / $58.26 / $79.29
| Professional | | $58.26 | $58.26 | $79.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.31 / $93.51 / $211.77
| Facility | | $43.31 | $93.51 | $211.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.50 / $71.45 / $108.02
| Professional | | $36.50 | $71.45 | $108.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.61 / $89.61 / $105.42
| Professional | | $89.61 | $89.61 | $105.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.98 / $85.90 / $230.71
| Professional | | $61.98 | $85.90 | $230.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.98 / $81.00 / $137.80
| Facility | | $72.98 | $81.00 | $137.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.85 / $296.01 / $296.01
| Facility | | $107.85 | $296.01 | $296.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.30 / $37.19 / $130.83
| Professional | | $27.30 | $37.19 | $130.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.13 / $74.08 / $137.84
| Facility | | $60.13 | $74.08 | $137.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.66 / $63.91 / $78.39
| Professional | | $54.66 | $63.91 | $78.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.30 / $51.95 / $163.91
| Professional | | $27.30 | $51.95 | $163.91 |