- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $246.17 / $374.85
| Facility | | $20.32 | $246.17 | $374.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.32 / $27.30 / $49.17
| Professional | | $20.32 | $27.30 | $49.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.70 / $138.99 / $359.91
| Facility | | $33.70 | $138.99 | $359.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.51 / $44.30 / $191.45
| Professional | | $27.51 | $44.30 | $191.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.23 / $89.05 / $178.10
| Facility | | $71.23 | $89.05 | $178.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.81 / $190.49 / $277.89
| Facility | | $63.81 | $190.49 | $277.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.63 / $48.30 / $94.98
| Professional | | $29.63 | $48.30 | $94.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.43 / $83.43 / $6,679.00
| Facility | | $25.43 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $30.73 / $55.07
| Professional | | $11.15 | $30.73 | $55.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.04 / $71.45 / $95.79
| Professional | | $36.04 | $71.45 | $95.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.14 / $105.27 / $236.59
| Facility | | $53.14 | $105.27 | $236.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.85 / $13.34 / $16.89
| Professional | | $11.85 | $13.34 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.16 / $359.91 / $359.91
| Facility | | $214.16 | $359.91 | $359.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.23 / $45.15 / $191.45
| Professional | | $29.23 | $45.15 | $191.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.49 / $124.41 / $271.37
| Facility | | $118.49 | $124.41 | $271.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.91 / $38.72 / $67.86
| Professional | | $28.91 | $38.72 | $67.86 |