- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $34.68 / $64.50
| Facility | | $34.67 | $34.68 | $64.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.68 / $46.30 / $125.25
| Professional | | $34.68 | $46.30 | $125.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.22 / $122.39 / $186.63
| Facility | | $70.22 | $122.39 | $186.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $66.30 / $324.60
| Professional | | $34.72 | $66.30 | $324.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.78 / $93.65 / $119.83
| Facility | | $80.78 | $93.65 | $119.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.67 / $21.67 / $29.41
| Professional | | $21.67 | $21.67 | $29.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.36 / $46.36 / $46.36
| Facility | | $46.36 | $46.36 | $46.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.64 / $69.98 / $108.29
| Professional | | $39.64 | $69.98 | $108.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.71 / $83.43 / $6,679.00
| Facility | | $42.71 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.93 / $40.29 / $68.05
| Professional | | $21.93 | $40.29 | $68.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.01 / $84.21 / $112.48
| Professional | | $43.01 | $84.21 | $112.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.60 / $47.00 / $79.17
| Professional | | $39.60 | $47.00 | $79.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.22 / $186.63 / $186.63
| Facility | | $70.22 | $186.63 | $186.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.63 / $70.16 / $324.60
| Professional | | $39.63 | $70.16 | $324.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.43 / $56.58 / $115.81
| Professional | | $37.43 | $56.58 | $115.81 |