- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.67 / $52.01 / $119.07
| Facility | | $33.67 | $52.01 | $119.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.67 / $57.34 / $120.12
| Professional | | $33.67 | $57.34 | $120.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.79 / $355.54 / $2,713.00
| Facility | | $99.79 | $355.54 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.19 / $106.75 / $327.84
| Professional | | $48.19 | $106.75 | $327.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.68 / $67.18 / $124.19
| Facility | | $51.68 | $67.18 | $124.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.93 / $81.83 / $287.27
| Professional | | $43.93 | $81.83 | $287.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.17 / $94.35 / $205.15
| Professional | | $50.17 | $94.35 | $205.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $168.26 / $6,679.00
| Facility | | $53.00 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.95 / $111.91 / $154.47
| Professional | | $88.95 | $111.91 | $154.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.12 / $119.44 / $220.94
| Professional | | $56.12 | $119.44 | $220.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.60 / $59.60 / $63.73
| Facility | | $59.60 | $59.60 | $63.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.52 / $130.61 / $578.40
| Professional | | $78.52 | $130.61 | $578.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.66 / $101.99 / $219.55
| Professional | | $67.66 | $101.99 | $219.55 |