- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.54 / $70.41 / $392.90
| Facility | | $62.54 | $70.41 | $392.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.55 / $81.20 / $278.93
| Professional | | $62.55 | $81.20 | $278.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.04 / $161.77 / $378.15
| Facility | | $35.04 | $161.77 | $378.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.59 / $115.50 / $484.57
| Professional | | $71.59 | $115.50 | $484.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.34 / $78.59 / $155.87
| Facility | | $58.34 | $78.59 | $155.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.50 / $345.63 / $506.94
| Facility | | $117.50 | $345.63 | $506.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.07 / $129.38 / $233.69
| Professional | | $82.07 | $129.38 | $233.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.25 / $83.43 / $6,679.00
| Facility | | $33.25 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.51 / $69.29 / $129.91
| Professional | | $36.51 | $69.29 | $129.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.59 / $168.96 / $228.70
| Professional | | $76.59 | $168.96 | $228.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.98 / $346.65 / $393.07
| Facility | | $67.98 | $346.65 | $393.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.84 / $74.68 / $119.82
| Professional | | $72.84 | $74.68 | $119.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.77 / $378.15 / $378.15
| Facility | | $161.77 | $378.15 | $378.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.04 / $115.50 / $484.57
| Professional | | $77.04 | $115.50 | $484.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.76 / $100.34 / $198.04
| Professional | | $74.76 | $100.34 | $198.04 |