- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.01 / $80.70 / $288.60
| Facility | | $37.01 | $80.70 | $288.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.33 / $26.32 / $34.45
| Professional | | $23.33 | $26.32 | $34.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.93 / $40.13 / $109.87
| Facility | | $25.93 | $40.13 | $109.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $35.32 / $139.15
| Professional | | $21.05 | $35.32 | $139.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.09 / $50.18 / $87.73
| Facility | | $35.09 | $50.18 | $87.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $32.97
| Professional | | $32.97 | $32.97 | $32.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.57 / $25.35 / $79.84
| Facility | | $22.57 | $25.35 | $79.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.02 / $33.83 / $57.36
| Professional | | $21.02 | $33.83 | $57.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.84 / $83.43 / $6,679.00
| Facility | | $36.84 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.77 / $49.13 / $74.73
| Professional | | $38.77 | $49.13 | $74.73 |
- 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
- $33.22 / $55.52 / $189.42
| Facility | | $33.22 | $55.52 | $189.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.06 / $166.68 / $166.68
| Facility | | $61.06 | $166.68 | $166.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.05 / $175.45
| Professional | | $21.05 | $21.05 | $175.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.93 / $25.93 / $41.91
| Facility | | $25.93 | $25.93 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.11 / $34.03 / $52.64
| Professional | | $31.11 | $34.03 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $21.05 / $62.67
| Professional | | $14.74 | $21.05 | $62.67 |