- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.17 / $106.94 / $296.32
| Facility | | $46.17 | $106.94 | $296.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $36.54 / $48.18
| Professional | | $24.82 | $36.54 | $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 / $289.44
| Professional | | $21.05 | $41.76 | $289.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $98.30 / $171.85
| Facility | | $50.39 | $98.30 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $34.74
| Professional | | $32.97 | $32.97 | $34.74 |
- 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
- $41.32 / $90.32 / $136.35
| Facility | | $41.32 | $90.32 | $136.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.45 / $175.45 / $175.45
| Professional | | $175.45 | $175.45 | $175.45 |
- 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 / $289.44
| Professional | | $21.05 | $27.10 | $289.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.64 / $38.60 / $59.41
| Facility | | $28.64 | $38.60 | $59.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.03 / $36.34 / $52.64
| Professional | | $34.03 | $36.34 | $52.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.05 / $21.05 / $21.05
| Facility | | $21.05 | $21.05 | $21.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $21.83 / $62.84
| Professional | | $14.74 | $21.83 | $62.84 |