- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $3,546.09 / $15,522.00
| Facility | | $39.83 | $3,546.09 | $15,522.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $28.91 / $82.02
| Professional | | $13.22 | $28.91 | $82.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,882.00 / $4,542.00 / $9,244.00
| Facility | | $1,882.00 | $4,542.00 | $9,244.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.97 / $27.27 / $60.92
| Professional | | $13.97 | $27.27 | $60.92 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $20.07 / $38.00 / $52.41
| Professional | 50 | $20.07 | $38.00 | $52.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.40 / $100.00 / $1,596.84
| Facility | | $64.40 | $100.00 | $1,596.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $26.01 / $56.56
| Professional | | $17.73 | $26.01 | $56.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.30 / $30.83 / $65.56
| Professional | | $15.30 | $30.83 | $65.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $20.75 / $49.28
| Professional | | $15.37 | $20.75 | $49.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.19 / $33.67 / $62.55
| Professional | | $14.19 | $33.67 | $62.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $65.09 / $69.06
| Facility | | $55.00 | $65.09 | $69.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.50 / $239.28 / $275.77
| Professional | | $124.50 | $239.28 | $275.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.47 / $28.16 / $49.28
| Facility | | $14.47 | $28.16 | $49.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.39 / $31.17 / $67.11
| Professional | | $15.39 | $31.17 | $67.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.21 / $47.21 / $108.52
| Professional | | $47.21 | $47.21 | $108.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.27 / $27.62 / $44.79
| Professional | | $14.27 | $27.62 | $44.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $587.00 / $1,572.00 / $5,830.00
| Facility | | $587.00 | $1,572.00 | $5,830.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.57 / $32.54 / $74.48
| Professional | | $24.57 | $32.54 | $74.48 |