- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.78 / $142.26 / $480.39
| Facility | | $128.78 | $142.26 | $480.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.12 / $106.85 / $253.63
| Professional | | $89.12 | $106.85 | $253.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.99 / $314.24 / $669.70
| Facility | | $138.99 | $314.24 | $669.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.56 / $209.63 / $740.76
| Professional | | $100.56 | $209.63 | $740.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.15 / $110.42 / $213.79
| Facility | | $80.15 | $110.42 | $213.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.26 / $32.97 / $44.54
| Professional | | $23.26 | $32.97 | $44.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.62 / $242.60 / $400.97
| Facility | | $89.62 | $242.60 | $400.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.43 / $223.88 / $444.30
| Professional | | $111.43 | $223.88 | $444.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.10 / $230.38 / $6,679.00
| Facility | | $102.10 | $230.38 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.03 / $145.90 / $243.34
| Professional | | $45.03 | $145.90 | $243.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.07 / $309.77 / $418.95
| Professional | | $165.07 | $309.77 | $418.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $189.96 / $213.22 / $358.76
| Facility | | $189.96 | $213.22 | $358.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.28 / $63.30 / $213.22
| Professional | | $49.28 | $63.30 | $213.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.00 / $669.70 / $669.70
| Facility | | $268.00 | $669.70 | $669.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.17 / $203.68 / $740.76
| Professional | | $103.17 | $203.68 | $740.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.56 / $195.19 / $421.83
| Professional | | $100.56 | $195.19 | $421.83 |