- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.03 / $35.86 / $36.53
| Facility | | $34.03 | $35.86 | $36.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.76 / $34.22 / $36.72
| Professional | | $24.76 | $34.22 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.08 / $25.08 / $25.08
| Professional | | $25.08 | $25.08 | $25.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.59 / $51.20 / $166.93
| Professional | | $46.59 | $51.20 | $166.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.66 / $126.86 / $190.52
| Facility | | $84.66 | $126.86 | $190.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $264.95 / $272.48 / $307.35
| Professional | | $264.95 | $272.48 | $307.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.37 / $34.03 / $72.01
| Facility | | $25.37 | $34.03 | $72.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.65 / $27.65 / $34.22
| Professional | | $27.65 | $27.65 | $34.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.81 / $86.14 / $147.16
| Professional | | $81.81 | $86.14 | $147.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.32 / $34.75 / $72.54
| Facility | | $26.32 | $34.75 | $72.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.22 / $46.66 / $64.05
| Professional | | $34.22 | $46.66 | $64.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.00 / $2,000.00 / $8,792.00
| Facility | | $350.00 | $2,000.00 | $8,792.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.69 / $32.59 / $51.92
| Professional | | $23.69 | $32.59 | $51.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.65 / $34.61 / $38.14
| Professional | | $27.65 | $34.61 | $38.14 |