- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.93 / $32.78 / $299.08
| Facility | | $29.93 | $32.78 | $299.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $48.15 / $299.08
| Professional | | $32.78 | $48.15 | $299.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.44 / $46.30 / $122.40
| Facility | | $38.44 | $46.30 | $122.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.61 / $53.44 / $98.78
| Professional | | $45.61 | $53.44 | $98.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.00 / $122.72 / $219.15
| Facility | | $97.00 | $122.72 | $219.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.02 / $137.53 / $320.36
| Professional | | $56.02 | $137.53 | $320.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.24 / $60.24 / $60.24
| Facility | | $60.24 | $60.24 | $60.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.55 / $45.55 / $123.00
| Professional | | $45.55 | $45.55 | $123.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.93 / $103.66 / $124.39
| Professional | | $82.93 | $103.66 | $124.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.20 / $72.56 / $160.66
| Professional | | $62.20 | $72.56 | $160.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $215.61 / $492.39 / $492.39
| Facility | | $215.61 | $492.39 | $492.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $535.65 / $535.65 / $777.45
| Professional | | $535.65 | $535.65 | $777.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $218.91
| Professional | | $32.34 | $32.34 | $218.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.56 / $93.48 / $106.79
| Facility | | $30.56 | $93.48 | $106.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.55 / $45.55 / $101.23
| Professional | | $45.55 | $45.55 | $101.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.65 / $195.65 / $195.65
| Professional | | $195.65 | $195.65 | $195.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.78 / $47.35 / $95.75
| Professional | | $43.78 | $47.35 | $95.75 |