- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $85.11 / $169.82
| Facility | | $19.05 | $85.11 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $44.67 / $112.20
| Professional | | $19.05 | $44.67 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $181.97
| Facility | | $42.66 | $64.57 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $57.54 / $288.40
| Professional | | $24.55 | $57.54 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $114.82 / $165.96
| Facility | | $91.20 | $114.82 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $54.95 / $56.23
| Professional | | $25.70 | $54.95 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $45.71 / $93.33
| Facility | | $28.84 | $45.71 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $45.71 / $117.49
| Professional | | $15.49 | $45.71 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $3,630.78 / $9,772.37
| Facility | | $36.31 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $97.72
| Professional | | $83.18 | $83.18 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $97.72
| Professional | | $57.54 | $57.54 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $181.97
| Facility | | $42.66 | $64.57 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $57.54 / $288.40
| Professional | | $24.55 | $57.54 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $52.48 / $57.54
| Facility | | $25.12 | $52.48 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $34.67 / $104.71
| Professional | | $16.98 | $34.67 | $104.71 |