- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.56 / $60.23 / $656.67
| Facility | | $40.56 | $60.23 | $656.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.56 / $60.23 / $108.29
| Professional | | $40.56 | $60.23 | $108.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.31 / $323.17 / $2,713.00
| Facility | | $72.31 | $323.17 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.62 / $104.83 / $472.88
| Professional | | $48.62 | $104.83 | $472.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.39 / $66.04 / $117.89
| Facility | | $51.39 | $66.04 | $117.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.30 / $106.72 / $170.94
| Professional | | $70.30 | $106.72 | $170.94 |
- 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
- $55.86 / $94.76 / $175.60
| Professional | | $55.86 | $94.76 | $175.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.13 / $121.59 / $6,679.00
| Facility | | $52.13 | $121.59 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.47 / $91.42 / $126.07
| Professional | | $75.47 | $91.42 | $126.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.63 / $121.19 / $189.01
| Professional | | $57.63 | $121.19 | $189.01 |
- 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
- $70.19 / $135.36 / $472.88
| Professional | | $70.19 | $135.36 | $472.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $1,078.00 / $2,733.00
| Facility | | $308.00 | $1,078.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.95 / $98.90 / $195.33
| Professional | | $64.95 | $98.90 | $195.33 |