- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.39 / $37.89 / $59.09
| Facility | | $36.39 | $37.89 | $59.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.88 / $39.20 / $97.41
| Professional | | $30.88 | $39.20 | $97.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.59 / $155.22 / $155.22
| Facility | | $32.59 | $155.22 | $155.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $64.19 / $514.16
| Professional | | $33.90 | $64.19 | $514.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.01 / $93.31 / $118.93
| Facility | | $36.01 | $93.31 | $118.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.61 / $44.78 / $77.70
| Professional | | $30.61 | $44.78 | $77.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.43 / $52.43 / $52.43
| Facility | | $52.43 | $52.43 | $52.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.59 / $59.45 / $106.62
| Professional | | $34.59 | $59.45 | $106.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.86 / $38.65 / $41.53
| Facility | | $27.86 | $38.65 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.81 / $37.15 / $53.10
| Professional | | $20.81 | $37.15 | $53.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.78 / $78.36 / $98.66
| Professional | | $41.78 | $78.36 | $98.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.83 / $49.40 / $99.00
| Facility | | $46.83 | $49.40 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.46 / $49.46 / $116.25
| Professional | | $49.46 | $49.46 | $116.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.22 / $155.22 / $155.22
| Facility | | $155.22 | $155.22 | $155.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.77 / $66.78 / $514.16
| Professional | | $36.77 | $66.78 | $514.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $39.02 / $61.63
| Professional | | $28.84 | $39.02 | $61.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.77 / $54.09 / $139.18
| Professional | | $36.77 | $54.09 | $139.18 |