- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $158.49 / $251.19
| Facility | | $70.79 | $158.49 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $56.23 / $77.62
| Professional | | $7.08 | $56.23 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $45.71 / $123.03
| Professional | | $45.71 | $45.71 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $83.18
| Facility | | $83.18 | $83.18 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $83.18 / $83.18
| Professional | | $61.66 | $83.18 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $177.83 / $213.80
| Facility | | $54.95 | $177.83 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $407.38 / $407.38
| Professional | | $95.50 | $407.38 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $138.04 / $323.59
| Facility | | $83.18 | $138.04 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $50.12 / $162.18
| Professional | | $39.81 | $50.12 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $83.18 / $95.50
| Professional | | $52.48 | $83.18 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $158.49 / $50,118.72
| Facility | | $109.65 | $158.49 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $75.86 / $100.00
| Facility | | $50.12 | $75.86 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $50.12 / $125.89
| Professional | | $35.48 | $50.12 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $83.18 / $95.50
| Facility | | $50.12 | $83.18 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $83.18 / $95.50
| Professional | | $51.29 | $83.18 | $95.50 |