- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $102.33 / $194.98
| Facility | | $35.48 | $102.33 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $28.18 / $77.62
| Professional | | $22.39 | $28.18 | $77.62 |
- 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 / $35.48 / $288.40
| Professional | | $20.89 | $35.48 | $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
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.11
| Professional | | $33.11 | $33.11 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $56.23 / $134.90
| Facility | | $28.18 | $56.23 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $42.66 / $91.20
| Professional | | $20.89 | $42.66 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $3,630.78 / $9,772.37
| Facility | | $38.02 | $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
- $41.69 / $44.67 / $114.82
| Facility | | $41.69 | $44.67 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $35.48
| Professional | | $35.48 | $35.48 | $35.48 |
- 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 / $35.48 / $288.40
| Professional | | $20.89 | $35.48 | $288.40 |
- 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 / $70.79
| Professional | | $20.89 | $35.48 | $70.79 |