- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.11 / $50.06 / $50.15
| Facility | | $36.11 | $50.06 | $50.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.54 / $45.84 / $54.17
| Professional | | $33.54 | $45.84 | $54.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.03 / $36.04 / $58.51
| Professional | | $29.03 | $36.04 | $58.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.78 / $28.82 / $6,213.00
| Facility | | $28.78 | $28.82 | $6,213.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.78 / $28.82 / $57.60
| Professional | | $28.78 | $28.82 | $57.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.90 / $58.90 / $58.90
| Facility | | $58.90 | $58.90 | $58.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.98 / $76.68 / $246.35
| Professional | | $60.98 | $76.68 | $246.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.61 / $67.77 / $332.00
| Facility | | $33.61 | $67.77 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.30 / $77.59 / $118.31
| Professional | | $61.30 | $77.59 | $118.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.06 / $50.06 / $50.06
| Facility | | $50.06 | $50.06 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.06 / $77.94 / $110.38
| Professional | | $50.06 | $77.94 | $110.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.90 / $555.00 / $74,999.25
| Facility | | $58.90 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.00 / $76.68 / $246.35
| Professional | | $64.00 | $76.68 | $246.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.11 / $53.91 / $109.15
| Professional | | $40.11 | $53.91 | $109.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.06 / $50.06 / $50.06
| Facility | | $50.06 | $50.06 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.06 / $50.06 / $105.02
| Professional | | $50.06 | $50.06 | $105.02 |