- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.83 / $58.74 / $206.32
| Facility | | $51.83 | $58.74 | $206.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.73 / $77.40 / $229.49
| Professional | | $53.73 | $77.40 | $229.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.22 / $113.65 / $228.59
| Professional | | $84.22 | $113.65 | $228.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.96 / $245.36 / $376.38
| Facility | | $209.96 | $245.36 | $376.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.54 / $197.80 / $224.78
| Professional | | $128.54 | $197.80 | $224.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.65 / $88.74 / $177.26
| Facility | | $71.65 | $88.74 | $177.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.65 / $88.74 / $177.26
| Facility | | $71.65 | $88.74 | $177.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.91 / $138.16 / $232.57
| Professional | | $89.91 | $138.16 | $232.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.78 / $95.26 / $200.86
| Professional | | $59.78 | $95.26 | $200.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.65 / $88.74 / $177.26
| Facility | | $71.65 | $88.74 | $177.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.61 / $185.11 / $259.63
| Professional | | $103.61 | $185.11 | $259.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.12 / $151.97 / $363.31
| Facility | | $150.12 | $151.97 | $363.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.19 / $91.19 / $231.68
| Professional | | $91.19 | $91.19 | $231.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.07 / $233.22 / $233.22
| Professional | | $195.07 | $233.22 | $233.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.91 / $138.16 / $237.45
| Professional | | $89.91 | $138.16 | $237.45 |