- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $89.13 / $114.82
| Facility | | $70.79 | $89.13 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $85.11 / $218.78
| Professional | | $57.54 | $85.11 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $257.04 / $645.65
| Facility | | $89.13 | $257.04 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $109.65 / $467.74
| Professional | | $69.18 | $109.65 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $169.82 / $239.88
| Facility | | $93.33 | $169.82 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $141.25 / $194.98
| Professional | | $93.33 | $141.25 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $125.89 / $190.55
| Professional | | $72.44 | $125.89 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $77.62 / $131.83
| Professional | | $44.67 | $77.62 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $134.90 / $194.98
| Professional | | $75.86 | $134.90 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $208.93 / $1,148.15
| Facility | | $64.57 | $208.93 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $144.54 / $616.60
| Professional | | $89.13 | $144.54 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $257.04 / $645.65
| Facility | | $89.13 | $257.04 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $109.65 / $467.74
| Professional | | $69.18 | $109.65 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $72.44 / $131.83
| Professional | | $51.29 | $72.44 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $109.65 / $204.17
| Professional | | $72.44 | $109.65 | $204.17 |