- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.85 / $47.22 / $217.48
| Facility | | $28.85 | $47.22 | $217.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.85 / $47.22 / $68.27
| Professional | | $28.85 | $47.22 | $68.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.51 / $267.02 / $2,733.00
| Facility | | $56.51 | $267.02 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.47 / $88.54 / $417.68
| Professional | | $32.47 | $88.54 | $417.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.77 / $37.40 / $73.36
| Facility | | $28.77 | $37.40 | $73.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.65 / $76.95 / $182.62
| Professional | | $36.65 | $76.95 | $182.62 |
- 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
- $40.59 / $79.64 / $165.52
| Professional | | $40.59 | $79.64 | $165.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.72 / $168.26 / $6,679.00
| Facility | | $29.72 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.71 / $65.45 / $104.88
| Professional | | $35.71 | $65.45 | $104.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.91 / $69.22 / $153.68
| Professional | | $31.91 | $69.22 | $153.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.33 / $121.00 / $121.00
| Professional | | $53.33 | $121.00 | $121.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,078.00 / $3,445.00
| Facility | | $55.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.06 / $132.88 / $417.68
| Professional | | $74.06 | $132.88 | $417.68 |
- 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
- $70.20 / $91.66 / $174.74
| Professional | | $70.20 | $91.66 | $174.74 |