- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.42 / $52.13 / $82.31
| Facility | | $32.42 | $52.13 | $82.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.92 / $62.11 / $92.60
| Professional | | $38.92 | $62.11 | $92.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.27 / $109.89 / $167.56
| Facility | | $35.27 | $109.89 | $167.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $59.71 / $92.76
| Professional | | $32.36 | $59.71 | $92.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.71 / $89.19 / $130.68
| Professional | | $63.71 | $89.19 | $130.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.14 / $39.69 / $79.83
| Facility | | $37.14 | $39.69 | $79.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.03 / $79.86 / $135.47
| Professional | | $43.03 | $79.86 | $135.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.76 / $207.05 / $207.05
| Facility | | $190.76 | $207.05 | $207.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $267.82 / $339.15 / $661.58
| Professional | | $267.82 | $339.15 | $661.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.85 / $62.11 / $94.61
| Facility | | $38.85 | $62.11 | $94.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.87 / $85.39 / $139.72
| Professional | | $46.87 | $85.39 | $139.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $211.70 / $211.70 / $211.70
| Professional | | $211.70 | $211.70 | $211.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.70 / $62.41 / $94.61
| Facility | | $38.70 | $62.41 | $94.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.25 / $83.51 / $152.00
| Professional | | $44.25 | $83.51 | $152.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.44 / $85.03 / $138.18
| Professional | | $61.44 | $85.03 | $138.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.25 / $77.73 / $105.46
| Professional | | $66.25 | $77.73 | $105.46 |