- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.52 / $230.78 / $524.45
| Facility | | $68.52 | $230.78 | $524.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.99 / $74.23 / $187.42
| Professional | | $45.99 | $74.23 | $187.42 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $324.44 / $324.44 / $324.44
| Professional | 50 | $324.44 | $324.44 | $324.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.34 / $323.17 / $2,713.00
| Facility | | $82.34 | $323.17 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.16 / $116.45 / $540.40
| Professional | | $55.16 | $116.45 | $540.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.25 / $76.14 / $135.91
| Facility | | $59.25 | $76.14 | $135.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.59 / $114.53 / $191.31
| Professional | | $75.59 | $114.53 | $191.31 |
- 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
- $62.29 / $101.52 / $189.17
| Professional | | $62.29 | $101.52 | $189.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.62 / $199.08 / $6,679.00
| Facility | | $59.62 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.62 / $105.40 / $145.50
| Professional | | $86.62 | $105.40 | $145.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.37 / $137.41 / $210.97
| Professional | | $65.37 | $137.41 | $210.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.09 / $177.65 / $571.54
| Facility | | $105.09 | $177.65 | $571.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.51 / $114.81 / $143.80
| Professional | | $68.51 | $114.81 | $143.80 |
- 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
- $76.17 / $152.30 / $540.40
| Professional | | $76.17 | $152.30 | $540.40 |
- 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
- $73.08 / $111.19 / $220.43
| Professional | | $73.08 | $111.19 | $220.43 |