- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $162.18 / $363.08
| Facility | | $25.12 | $162.18 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $42.66 / $134.90
| Professional | | $23.44 | $42.66 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $154.88 / $407.38
| Facility | | $43.65 | $154.88 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | AS | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $44.67 / $117.49
| Professional | | $24.55 | $44.67 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $85.11 / $380.19
| Facility | | $28.18 | $85.11 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $40.74 / $72.44
| Professional | | $26.92 | $40.74 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $42.66 / $104.71
| Professional | | $20.42 | $42.66 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $56.23 / $8,511.38
| Facility | | $25.70 | $56.23 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $40.74 / $70.79
| Professional | | $23.99 | $40.74 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $51.29 / $109.65
| Professional | | $25.70 | $51.29 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $229.09 / $1,202.26
| Facility | | $120.23 | $229.09 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $154.88 / $407.38
| Facility | | $43.65 | $154.88 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $15.49 / $15.49 / $15.49
| Facility | AS | $15.49 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $44.67 / $117.49
| Professional | | $24.55 | $44.67 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $436.52 / $758.58
| Facility | | $27.54 | $436.52 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $43.65 / $91.20
| Professional | | $25.70 | $43.65 | $91.20 |