- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.38 / $69.66 / $463.10
| Facility | | $40.38 | $69.66 | $463.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.21 / $60.81 / $87.80
| Professional | | $39.21 | $60.81 | $87.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.14 / $82.13 / $133.69
| Professional | | $79.14 | $82.13 | $133.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.51 / $70.15 / $125.45
| Professional | | $42.51 | $70.15 | $125.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.28 / $122.50 / $126.60
| Professional | | $95.28 | $122.50 | $126.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.00 / $283.17 / $496.04
| Facility | | $226.00 | $283.17 | $496.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.38 / $112.73 / $1,467.00
| Facility | | $40.38 | $112.73 | $1,467.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.65 / $61.89 / $104.98
| Professional | | $39.65 | $61.89 | $104.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.50 / $79.50 / $83.80
| Professional | | $79.50 | $79.50 | $83.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.34 / $78.34 / $78.34
| Facility | | $78.34 | $78.34 | $78.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.17 / $72.40 / $130.06
| Professional | | $43.17 | $72.40 | $130.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.90 / $44.89 / $76.19
| Facility | | $43.90 | $44.89 | $76.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.90 / $72.31 / $81.28
| Professional | | $43.90 | $72.31 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.15 / $77.11 / $136.63
| Professional | | $61.15 | $77.11 | $136.63 |