- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.79 / $42.61 / $43.43
| Facility | | $41.79 | $42.61 | $43.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.33 / $43.43 / $67.14
| Professional | | $39.33 | $43.43 | $67.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.76 / $55.76 / $102.94
| Professional | | $55.76 | $55.76 | $102.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.54 / $44.54 / $55.72
| Professional | | $44.54 | $44.54 | $55.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.58 / $93.58 / $93.58
| Facility | | $93.58 | $93.58 | $93.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.56 / $56.56 / $64.81
| Facility | | $56.56 | $56.56 | $64.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.29 / $41.29 / $56.56
| Professional | | $41.29 | $41.29 | $56.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.34 / $432.48 / $432.48
| Facility | | $156.34 | $432.48 | $432.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $463.22 / $463.22 / $681.38
| Professional | | $463.22 | $463.22 | $681.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.73 / $63.28 / $93.58
| Facility | | $26.73 | $63.28 | $93.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.73 / $84.22 / $93.58
| Professional | | $26.73 | $84.22 | $93.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.68 / $99.27 / $358.41
| Professional | | $90.68 | $99.27 | $358.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.73 / $62.51 / $93.58
| Facility | | $26.73 | $62.51 | $93.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.29 / $41.29 / $64.81
| Professional | | $41.29 | $41.29 | $64.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.51 / $51.05 / $59.41
| Professional | | $34.51 | $51.05 | $59.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.41 / $49.72 / $93.58
| Professional | | $49.41 | $49.72 | $93.58 |