- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.00 / $53.31 / $255.48
| Facility | | $33.00 | $53.31 | $255.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.62 / $30.17 / $39.79
| Professional | | $20.62 | $30.17 | $39.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.25 / $82.09 / $195.32
| Facility | | $41.25 | $82.09 | $195.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.21 / $43.96 / $111.95
| Professional | | $33.21 | $43.96 | $111.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.28 / $188.76 / $243.78
| Facility | | $160.28 | $188.76 | $243.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.33 / $45.41 / $62.52
| Professional | | $36.33 | $45.41 | $62.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.56 / $88.00 / $104.78
| Facility | | $22.56 | $88.00 | $104.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.86 / $73.00 / $114.99
| Professional | | $38.86 | $73.00 | $114.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.01 / $57.11 / $6,679.00
| Facility | | $38.01 | $57.11 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.81 / $36.29 / $61.71
| Professional | | $21.81 | $36.29 | $61.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.34 / $74.65 / $109.62
| Professional | | $39.34 | $74.65 | $109.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.74 / $227.74 / $227.74
| Facility | | $227.74 | $227.74 | $227.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $59.00
| Professional | | $16.00 | $16.00 | $59.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.09 / $195.32 / $195.32
| Facility | | $82.09 | $195.32 | $195.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.75 / $42.68 / $233.94
| Professional | | $33.75 | $42.68 | $233.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.23 / $22.37 / $57.09
| Professional | | $15.23 | $22.37 | $57.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.54 / $41.45 / $82.50
| Professional | | $33.54 | $41.45 | $82.50 |