- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $113.53 / $281.20
| Facility | | $50.00 | $113.53 | $281.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.01 / $70.31 / $277.11
| Professional | | $50.01 | $70.31 | $277.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.36 / $147.72 / $539.87
| Facility | | $26.36 | $147.72 | $539.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.91 / $100.71 / $480.87
| Professional | | $59.91 | $100.71 | $480.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.35 / $59.25 / $117.52
| Facility | | $43.35 | $59.25 | $117.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.69 / $345.63 / $506.94
| Facility | | $107.69 | $345.63 | $506.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.59 / $107.55 / $188.63
| Professional | | $68.59 | $107.55 | $188.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.54 / $83.43 / $6,679.00
| Facility | | $25.54 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.04 / $56.87 / $107.49
| Professional | | $28.04 | $56.87 | $107.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.31 / $138.72 / $186.89
| Professional | | $73.31 | $138.72 | $186.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.99 / $51.40 / $473.28
| Facility | | $45.99 | $51.40 | $473.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.31 / $79.94 / $113.85
| Professional | | $61.31 | $79.94 | $113.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.05 / $539.87 / $539.87
| Facility | | $132.05 | $539.87 | $539.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.02 / $101.79 / $480.87
| Professional | | $65.02 | $101.79 | $480.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.23 / $86.11 / $164.76
| Professional | | $64.23 | $86.11 | $164.76 |