- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.93 / $84.92 / $99.91
| Facility | | $74.93 | $84.92 | $99.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.71 / $65.98 / $104.90
| Professional | | $51.71 | $65.98 | $104.90 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $89.00 / $89.00 / $89.00
| Professional | 25 | $89.00 | $89.00 | $89.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.14 / $322.14 / $322.14
| Facility | | $322.14 | $322.14 | $322.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.05 / $103.00 / $421.43
| Professional | | $51.05 | $103.00 | $421.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.89 / $107.96 / $194.90
| Facility | | $85.89 | $107.96 | $194.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.04 / $116.30 / $162.85
| Professional | | $81.04 | $116.30 | $162.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $78.06 / $234.30
| Professional | | $28.00 | $78.06 | $234.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $25.00 / $59.69
| Facility | | $23.22 | $25.00 | $59.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.00 / $61.01 / $118.99
| Professional | | $25.00 | $61.01 | $118.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.86 / $141.30 / $200.10
| Professional | | $67.86 | $141.30 | $200.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.09 / $165.87 / $197.46
| Facility | | $74.09 | $165.87 | $197.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.00 / $102.34 / $142.78
| Professional | | $70.00 | $102.34 | $142.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.14 / $322.14 / $322.14
| Facility | | $322.14 | $322.14 | $322.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.59 / $93.83 / $449.78
| Professional | | $47.59 | $93.83 | $449.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.49 / $66.19 / $126.64
| Professional | | $31.49 | $66.19 | $126.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $80.23 / $181.56
| Professional | | $40.00 | $80.23 | $181.56 |