- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.98 / $153.04 / $438.76
| Facility | | $44.98 | $153.04 | $438.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.71 / $44.98 / $141.78
| Professional | | $25.71 | $44.98 | $141.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.46 / $293.00 / $876.00
| Facility | | $57.46 | $293.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $78.56 / $126.09
| Professional | | $39.22 | $78.56 | $126.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.39 / $82.46 / $965.37
| Facility | | $40.39 | $82.46 | $965.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.60 / $52.64 / $121.04
| Professional | | $42.60 | $52.64 | $121.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.64 / $594.12 / $2,074.73
| Facility | | $29.64 | $594.12 | $2,074.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.52 / $47.33 / $99.84
| Professional | | $30.52 | $47.33 | $99.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.74 / $29.41 / $36.10
| Professional | | $26.74 | $29.41 | $36.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.25 / $29.92 / $57.29
| Professional | | $22.25 | $29.92 | $57.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.02 / $557.58 / $620.88
| Facility | | $328.02 | $557.58 | $620.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $622.52 / $1,180.70 / $1,219.67
| Professional | | $622.52 | $1,180.70 | $1,219.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.27 / $41.49 / $112.44
| Facility | | $27.27 | $41.49 | $112.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.52 / $48.61 / $78.09
| Professional | | $30.52 | $48.61 | $78.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.98 / $87.98 / $87.98
| Professional | | $87.98 | $87.98 | $87.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.40 / $41.85 / $85.55
| Professional | | $23.40 | $41.85 | $85.55 |