- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.83 / $504.83 / $963.36
| Facility | | $74.83 | $504.83 | $963.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.02 / $81.65 / $203.06
| Professional | | $53.02 | $81.65 | $203.06 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $118.88 / $151.91 / $425.97
| Professional | 50 | $118.88 | $151.91 | $425.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.72 / $512.58 / $2,713.00
| Facility | | $89.72 | $512.58 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.81 / $133.34 / $563.12
| Professional | | $59.81 | $133.34 | $563.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.59 / $83.01 / $148.19
| Facility | | $64.59 | $83.01 | $148.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.81 / $118.92 / $195.00
| Professional | | $81.81 | $118.92 | $195.00 |
- 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
- $72.31 / $120.06 / $217.13
| Professional | | $72.31 | $120.06 | $217.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.01 / $300.00 / $6,679.00
| Facility | | $65.01 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.86 / $109.15 / $150.66
| Professional | | $89.86 | $109.15 | $150.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.95 / $148.53 / $220.26
| Professional | | $70.95 | $148.53 | $220.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.85 / $261.89 / $623.36
| Facility | | $118.85 | $261.89 | $623.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.87 / $136.56 / $171.69
| Professional | | $101.87 | $136.56 | $171.69 |
- 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
- $93.32 / $169.13 / $563.12
| Professional | | $93.32 | $169.13 | $563.12 |
- 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
- $87.99 / $123.06 / $229.25
| Professional | | $87.99 | $123.06 | $229.25 |