- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.01 / $156.01 / $910.08
| Facility | | $65.01 | $156.01 | $910.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $38.26 / $80.23
| Professional | | $34.04 | $38.26 | $80.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.82 / $58.53 / $160.28
| Facility | | $37.82 | $58.53 | $160.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.02 / $60.92 / $397.33
| Professional | | $40.02 | $60.92 | $397.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.34 / $123.07 / $244.10
| Facility | | $81.34 | $123.07 | $244.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.12 / $48.12 / $51.37
| Professional | | $48.12 | $48.12 | $51.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.92 / $80.01 / $155.04
| Facility | | $39.92 | $80.01 | $155.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.53 / $54.04 / $133.52
| Professional | | $28.53 | $54.04 | $133.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.15 / $3,472.00 / $9,239.00
| Facility | | $72.15 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.75 / $73.75 / $86.77
| Professional | | $73.75 | $73.75 | $86.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.19 / $101.05 / $153.71
| Professional | | $51.19 | $101.05 | $153.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.23 / $162.74 / $555.73
| Facility | | $57.23 | $162.74 | $555.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.07 / $279.00 / $279.00
| Facility | | $89.07 | $279.00 | $279.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.67 / $63.65 / $397.33
| Professional | | $33.67 | $63.65 | $397.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.71 / $30.71 / $30.71
| Facility | | $30.71 | $30.71 | $30.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.71 / $51.19 / $169.08
| Professional | | $30.71 | $51.19 | $169.08 |