- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.11 / $111.50 / $351.76
| Facility | | $63.11 | $111.50 | $351.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.11 / $79.59 / $399.00
| Professional | | $63.11 | $79.59 | $399.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.42 / $80.42 / $185.85
| Professional | | $63.42 | $80.42 | $185.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.91 / $41.91 / $69.14
| Facility | | $41.91 | $41.91 | $69.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.91 / $69.14 / $111.06
| Professional | | $41.91 | $69.14 | $111.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.14 / $282.52 / $370.43
| Facility | | $83.14 | $282.52 | $370.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.38 / $115.68 / $244.17
| Professional | | $64.38 | $115.68 | $244.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $40.90 / $332.00
| Facility | | $25.12 | $40.90 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.58 / $97.29 / $151.71
| Professional | | $73.58 | $97.29 | $151.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.25 / $25.25 / $25.25
| Facility | | $25.25 | $25.25 | $25.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.12 / $93.16 / $158.56
| Professional | | $61.12 | $93.16 | $158.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.59 / $89.19 / $90.17
| Professional | | $87.59 | $89.19 | $90.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.14 / $153.97 / $555.00
| Facility | | $83.14 | $153.97 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.09 / $109.64 / $240.66
| Professional | | $73.09 | $109.64 | $240.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.16 / $80.12 / $174.92
| Professional | | $61.16 | $80.12 | $174.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.01 / $87.01 / $233.37
| Facility | | $87.01 | $87.01 | $233.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.50 / $100.55 / $196.61
| Professional | | $75.50 | $100.55 | $196.61 |