- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $218.78 / $398.11
| Facility | | $50.12 | $218.78 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $97.72 / $354.81
| Professional | | $51.29 | $97.72 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $154.88 / $537.03
| Facility | | $26.30 | $154.88 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $87.10 / $478.63
| Professional | | $52.48 | $87.10 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $48.98 / $77.62
| Facility | | $38.90 | $48.98 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $125.89 / $165.96
| Professional | | $72.44 | $125.89 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.20 / $131.83 / $537.03
| Facility | | $112.20 | $131.83 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $93.33 / $177.83
| Professional | | $58.88 | $93.33 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $56.23 / $7,079.46
| Facility | | $26.30 | $56.23 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $61.66 / $120.23
| Professional | | $29.51 | $61.66 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $100.00 / $162.18
| Professional | | $61.66 | $100.00 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $53.70 / $602.56
| Facility | | $45.71 | $53.70 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $74.13 / $190.55
| Professional | | $54.95 | $74.13 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $154.88 / $537.03
| Facility | | $26.30 | $154.88 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $87.10 / $478.63
| Professional | | $53.70 | $87.10 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $66.07 / $131.83
| Facility | | $35.48 | $66.07 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $89.13 / $165.96
| Professional | | $61.66 | $89.13 | $165.96 |