- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.93 / $88.09 / $909.00
| Facility | | $64.93 | $88.09 | $909.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.93 / $83.23 / $123.33
| Professional | | $64.93 | $83.23 | $123.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.10 / $17.12 / $84.80
| Professional | | $14.10 | $17.12 | $84.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.92 / $87.92 / $96.81
| Facility | | $87.92 | $87.92 | $96.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.13 / $319.57 / $819.29
| Facility | | $135.13 | $319.57 | $819.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.54 / $91.46 / $176.80
| Professional | | $67.54 | $91.46 | $176.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.92 / $972.00 / $972.00
| Facility | | $203.92 | $972.00 | $972.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $640.03 / $640.03 / $802.05
| Professional | | $640.03 | $640.03 | $802.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.94 / $93.12 / $158.28
| Facility | | $72.94 | $93.12 | $158.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.64 / $152.63 / $370.04
| Professional | | $115.64 | $152.63 | $370.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.20 / $176.10 / $271.50
| Professional | | $105.20 | $176.10 | $271.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.62 / $96.71 / $233.77
| Facility | | $73.62 | $96.71 | $233.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.59 / $104.00 / $235.62
| Professional | | $69.59 | $104.00 | $235.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.09 / $88.80 / $140.21
| Professional | | $70.09 | $88.80 | $140.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.95 / $88.09 / $125.71
| Professional | | $78.95 | $88.09 | $125.71 |