- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.75 / $272.43 / $618.29
| Facility | | $108.75 | $272.43 | $618.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $23.94 / $27.34
| Professional | | $20.89 | $23.94 | $27.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.35 / $172.43 / $427.27
| Facility | | $33.35 | $172.43 | $427.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $38.40 / $119.25
| Professional | | $10.89 | $38.40 | $119.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.58 / $474.46 / $783.98
| Facility | | $313.58 | $474.46 | $783.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.32 / $21.32 / $41.92
| Professional | | $21.32 | $21.32 | $41.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.84 / $31.20 / $84.09
| Facility | | $2.84 | $31.20 | $84.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.23 / $36.76 / $45.95
| Professional | | $15.23 | $36.76 | $45.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.87 / $43.87 / $51.62
| Professional | | $43.87 | $43.87 | $51.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.50 / $53.36 / $880.25
| Professional | | $38.50 | $53.36 | $880.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.95 / $57.14 / $200.67
| Facility | | $29.95 | $57.14 | $200.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.41 / $172.43 / $172.43
| Facility | | $60.41 | $172.43 | $172.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $24.48 / $47.66
| Professional | | $3.15 | $24.48 | $47.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.52 / $478.45 / $805.24
| Facility | | $19.52 | $478.45 | $805.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $27.07 / $45.94
| Professional | | $9.11 | $27.07 | $45.94 |