- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.48 / $193.87 / $629.64
| Facility | | $71.48 | $193.87 | $629.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.94 / $71.48 / $81.01
| Professional | | $51.94 | $71.48 | $81.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.76 / $269.91 / $577.20
| Facility | | $148.76 | $269.91 | $577.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.77 / $114.43 / $188.80
| Professional | | $45.77 | $114.43 | $188.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $130.18 / $865.32
| Facility | | $59.40 | $130.18 | $865.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.07 / $74.38 / $136.08
| Professional | | $52.07 | $74.38 | $136.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.00 / $139.38 / $280.70
| Facility | | $63.00 | $139.38 | $280.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.65 / $130.61 / $1,658.02
| Professional | | $60.65 | $130.61 | $1,658.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.00 / $114.43 / $183.09
| Professional | | $99.00 | $114.43 | $183.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.54 / $114.43 / $200.25
| Professional | | $91.54 | $114.43 | $200.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.51 / $543.54 / $543.54
| Facility | | $178.51 | $543.54 | $543.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $20.00 / $20.00
| Professional | | $20.00 | $20.00 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.89 / $99.24 / $223.00
| Facility | | $42.89 | $99.24 | $223.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.65 / $88.11 / $1,658.02
| Professional | | $60.65 | $88.11 | $1,658.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.77 / $85.77 / $85.77
| Professional | | $85.77 | $85.77 | $85.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.02 / $40.03 / $144.65
| Professional | | $36.02 | $40.03 | $144.65 |