- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.40 / $168.05 / $440.82
| Facility | | $69.40 | $168.05 | $440.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.63 / $45.21 / $182.28
| Professional | | $38.63 | $45.21 | $182.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.07 / $60.34 / $143.51
| Facility | | $39.07 | $60.34 | $143.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $50.73 / $635.00
| Professional | | $25.70 | $50.73 | $635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.21 / $120.42 / $210.53
| Facility | | $84.21 | $120.42 | $210.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.27 / $40.27 / $54.79
| Professional | | $40.27 | $40.27 | $54.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.65 / $73.27 / $165.36
| Facility | | $40.65 | $73.27 | $165.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $47.36 / $115.65
| Professional | | $25.81 | $47.36 | $115.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.95 / $3,472.00 / $9,239.00
| Facility | | $76.95 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.61 / $61.61 / $72.48
| Professional | | $61.61 | $61.61 | $72.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.84 / $42.84 / $139.30
| Professional | | $42.84 | $42.84 | $139.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.14 / $77.06 / $482.95
| Facility | | $55.14 | $77.06 | $482.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.54 / $211.27 / $211.27
| Facility | | $74.54 | $211.27 | $211.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $36.81 / $635.00
| Professional | | $25.70 | $36.81 | $635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.42 / $51.46 / $97.66
| Facility | | $41.42 | $51.46 | $97.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.56 / $52.99 / $64.26
| Professional | | $41.56 | $52.99 | $64.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $35.90 / $83.79
| Professional | | $25.70 | $35.90 | $83.79 |