- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.71 / $200.00 / $292.83
| Facility | | $44.71 | $200.00 | $292.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.89 / $34.79 / $111.76
| Professional | | $24.89 | $34.79 | $111.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.11 / $58.97 / $162.55
| Professional | | $27.11 | $58.97 | $162.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.30 / $92.67 / $123.16
| Facility | | $79.30 | $92.67 | $123.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.09 / $102.56 / $116.55
| Professional | | $32.09 | $102.56 | $116.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $44.71 / $61.60
| Facility | | $25.74 | $44.71 | $61.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $44.71 / $225.13
| Facility | | $25.74 | $44.71 | $225.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.74 / $71.84 / $191.45
| Professional | | $30.74 | $71.84 | $191.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $33.89 / $71.55
| Professional | | $19.34 | $33.89 | $71.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $44.71 / $61.60
| Facility | | $25.74 | $44.71 | $61.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.20 / $85.69 / $124.02
| Professional | | $57.20 | $85.69 | $124.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.56 / $342.77 / $342.77
| Facility | | $71.56 | $342.77 | $342.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.40 / $138.10 / $191.45
| Professional | | $45.40 | $138.10 | $191.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.73 / $76.73 / $76.73
| Professional | | $76.73 | $76.73 | $76.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.27 / $169.36 / $182.79
| Professional | | $56.27 | $169.36 | $182.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.13 / $225.13 / $290.30
| Facility | | $225.13 | $225.13 | $290.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.45 / $63.43 / $121.04
| Professional | | $29.45 | $63.43 | $121.04 |