- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.36 / $150.68 / $219.66
| Facility | | $35.36 | $150.68 | $219.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.32 / $37.11 / $52.76
| Professional | | $32.32 | $37.11 | $52.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.67 / $43.67 / $43.67
| Professional | | $43.67 | $43.67 | $43.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $202.26 / $269.52 / $8,459.92
| Facility | | $202.26 | $269.52 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.06 / $34.06 / $34.06
| Professional | | $34.06 | $34.06 | $34.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.45 / $64.33 / $144.52
| Facility | | $41.45 | $64.33 | $144.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.52 / $40.38 / $97.28
| Professional | | $23.52 | $40.38 | $97.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.98 / $58.95 / $82.97
| Professional | | $25.98 | $58.95 | $82.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.95 / $122.95 / $122.95
| Facility | | $122.95 | $122.95 | $122.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.11 / $129.91 / $219.66
| Facility | | $37.11 | $129.91 | $219.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.32 / $47.96 / $180.36
| Professional | | $32.32 | $47.96 | $180.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.20 / $64.63 / $146.40
| Professional | | $45.20 | $64.63 | $146.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.50 / $72.66 / $144.52
| Facility | | $42.50 | $72.66 | $144.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.16 / $45.63 / $97.28
| Professional | | $25.16 | $45.63 | $97.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.67 / $43.67 / $43.67
| Facility | | $43.67 | $43.67 | $43.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.54 / $43.67 / $43.67
| Professional | | $28.54 | $43.67 | $43.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.34 / $26.20 / $75.00
| Professional | | $18.34 | $26.20 | $75.00 |