- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $41.69 / $102.33
| Facility | | $30.90 | $41.69 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $46.77 / $95.50
| Professional | | $30.20 | $46.77 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $42.66 / $54.95 / $144.54
| Professional | 25 | $42.66 | $54.95 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $162.18 / $316.23
| Facility | | $54.95 | $162.18 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $61.66 / $169.82
| Professional | | $37.15 | $61.66 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $58.88 / $128.82
| Facility | | $56.23 | $58.88 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $67.61 / $97.72
| Professional | | $47.86 | $67.61 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $83.18 / $138.04
| Professional | | $42.66 | $83.18 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $70.79 / $7,079.46
| Facility | | $56.23 | $70.79 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $74.13 / $114.82
| Professional | | $40.74 | $74.13 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $79.43 / $138.04
| Professional | | $44.67 | $79.43 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $162.18 / $316.23
| Facility | | $54.95 | $162.18 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $61.66 / $169.82
| Professional | | $37.15 | $61.66 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $72.44
| Professional | | $39.81 | $39.81 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $223.87 / $380.19
| Facility | | $46.77 | $223.87 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $61.66 / $147.91
| Professional | | $36.31 | $61.66 | $147.91 |