- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.31 / $52.85 / $144.80
| Facility | | $51.31 | $52.85 | $144.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.31 / $51.31 / $51.32
| Professional | | $51.31 | $51.31 | $51.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.31 / $79.25 / $169.99
| Facility | | $51.31 | $79.25 | $169.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.79 / $51.33 / $203.48
| Professional | | $30.79 | $51.33 | $203.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.32 / $77.65 / $137.63
| Facility | | $51.32 | $77.65 | $137.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.32 / $78.52 / $111.66
| Professional | | $51.32 | $78.52 | $111.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.68 / $35.36 / $82.58
| Facility | | $33.68 | $35.36 | $82.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.31 / $56.72 / $67.95
| Professional | | $51.31 | $56.72 | $67.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.34 / $102.62 / $6,679.00
| Facility | | $52.34 | $102.62 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.70 / $71.83 / $109.29
| Professional | | $56.70 | $71.83 | $109.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.31 / $51.31 / $134.18
| Professional | | $51.31 | $51.31 | $134.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.02 / $106.66 / $118.39
| Facility | | $54.02 | $106.66 | $118.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.28 / $243.72 / $243.72
| Facility | | $89.28 | $243.72 | $243.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.79 / $31.11 / $255.52
| Professional | | $30.79 | $31.11 | $255.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.32 / $64.77 / $120.31
| Facility | | $51.32 | $64.77 | $120.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.44 / $69.44 / $89.38
| Professional | | $69.44 | $69.44 | $89.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.55 / $30.79 / $98.57
| Professional | | $21.55 | $30.79 | $98.57 |