- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.51 / $211.42 / $907.20
| Facility | | $43.51 | $211.42 | $907.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.04 / $41.46 / $329.15
| Professional | | $33.04 | $41.46 | $329.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.71 / $267.45 / $8,459.92
| Facility | | $200.71 | $267.45 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.93 / $39.93 / $39.93
| Professional | | $39.93 | $39.93 | $39.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.29 / $75.45 / $169.51
| Facility | | $45.29 | $75.45 | $169.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.07 / $47.69 / $97.28
| Professional | | $24.07 | $47.69 | $97.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.46 / $69.11 / $97.26
| Professional | | $30.46 | $69.11 | $97.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.37 / $127.23 / $337.15
| Facility | | $72.37 | $127.23 | $337.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $211.42 / $678.40
| Facility | | $47.86 | $211.42 | $678.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.86 / $58.87 / $211.42
| Professional | | $36.86 | $58.87 | $211.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $509.23 / $554.60 / $925.33
| Facility | | $509.23 | $554.60 | $925.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.20 / $66.70 / $102.38
| Professional | | $45.20 | $66.70 | $102.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.29 / $81.77 / $169.51
| Facility | | $45.29 | $81.77 | $169.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.16 / $48.48 / $97.28
| Professional | | $25.16 | $48.48 | $97.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.19 / $51.19 / $51.19
| Facility | | $51.19 | $51.19 | $51.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.19 / $51.19 / $52.21
| Professional | | $51.19 | $51.19 | $52.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.71 / $51.19 / $93.68
| Professional | | $30.71 | $51.19 | $93.68 |