- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $83.78 / $180.20
| Facility | | $24.82 | $83.78 | $180.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $31.65 / $48.18
| Professional | | $24.82 | $31.65 | $48.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $109.87
| Facility | | $32.01 | $49.44 | $109.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $41.76 / $379.89
| Professional | | $21.05 | $41.76 | $379.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $94.86 / $171.85
| Facility | | $50.39 | $94.86 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $33.32
| Professional | | $32.97 | $32.97 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.31 / $60.03 / $135.51
| Facility | | $33.31 | $60.03 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $36.88 / $91.12
| Professional | | $21.15 | $36.88 | $91.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.05 / $3,472.00 / $9,239.00
| Facility | | $63.05 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.42 / $50.42 / $59.31
| Professional | | $50.42 | $50.42 | $59.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $108.67
| Professional | | $35.09 | $35.09 | $108.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.93 / $51.25 / $82.81
| Facility | | $42.93 | $51.25 | $82.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $167.46 / $167.46
| Facility | | $73.45 | $167.46 | $167.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $27.10 / $379.89
| Professional | | $21.05 | $27.10 | $379.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $68.59
| Professional | | $21.05 | $21.83 | $68.59 |