- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $69.18 / $114.82
| Facility | | $35.48 | $69.18 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $26.92 / $63.10
| Professional | | $18.62 | $26.92 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $48.98 / $120.23
| Facility | | $32.36 | $48.98 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $37.15 / $288.40
| Professional | | $20.89 | $37.15 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $85.11 / $123.03
| Facility | | $69.18 | $85.11 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $60.26 / $134.90
| Facility | | $28.18 | $60.26 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $38.02 / $91.20
| Professional | | $20.89 | $38.02 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $3,630.78 / $9,772.37
| Facility | | $56.23 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $58.88
| Professional | | $50.12 | $50.12 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $74.13
| Professional | | $35.48 | $35.48 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $48.98 / $120.23
| Facility | | $32.36 | $48.98 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $37.15 / $288.40
| Professional | | $20.89 | $37.15 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $42.66
| Facility | | $26.92 | $26.92 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $35.48 / $57.54
| Facility | | $29.51 | $35.48 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $35.48 / $69.18
| Professional | | $20.89 | $35.48 | $69.18 |