- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $58.88 / $245.47
| Facility | | $34.67 | $58.88 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $57.54 / $269.15
| Professional | | $36.31 | $57.54 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $75.86 / $338.84
| Facility | | $58.88 | $75.86 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $63.10 / $85.11
| Professional | | $37.15 | $63.10 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.15 / $128.82 / $169.82
| Facility | | $107.15 | $128.82 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $93.33 / $117.49
| Professional | | $66.07 | $93.33 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $67.61 / $72.44
| Facility | | $57.54 | $67.61 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $48.98 / $75.86
| Professional | | $48.98 | $48.98 | $75.86 |
- 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
- $63.10 / $63.10 / $97.72
| Professional | | $63.10 | $63.10 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $87.10 / $245.47
| Facility | | $33.11 | $87.10 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $52.48
| Professional | | $52.48 | $52.48 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $75.86 / $338.84
| Facility | | $58.88 | $75.86 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $63.10 / $97.72
| Professional | | $37.15 | $63.10 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $67.61 / $67.61
| Professional | | $53.70 | $67.61 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.08 / $54.95 / $151.36
| Facility | | $0.08 | $54.95 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $56.23 / $75.86
| Professional | | $37.15 | $56.23 | $75.86 |