- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.48 / $108.66 / $1,127.51
| Facility | | $74.48 | $108.66 | $1,127.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.48 / $99.96 / $122.59
| Professional | | $74.48 | $99.96 | $122.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.39 / $271.45 / $980.48
| Facility | | $123.39 | $271.45 | $980.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.50 / $148.90 / $689.38
| Professional | | $84.50 | $148.90 | $689.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.19 / $189.22 / $345.07
| Facility | | $89.19 | $189.22 | $345.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.02 / $295.99 / $447.01
| Facility | | $117.02 | $295.99 | $447.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.67 / $177.79 / $344.16
| Professional | | $83.67 | $177.79 | $344.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.18 / $128.06 / $6,679.00
| Facility | | $77.18 | $128.06 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.87 / $110.83 / $196.73
| Professional | | $42.87 | $110.83 | $196.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.47 / $249.42 / $343.83
| Professional | | $131.47 | $249.42 | $343.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.16 / $82.16 / $82.16
| Facility | | $82.16 | $82.16 | $82.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.21 / $51.32 / $52.62
| Professional | | $48.21 | $51.32 | $52.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $780.88 / $980.48 / $980.48
| Facility | | $780.88 | $980.48 | $980.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.56 / $155.63 / $689.38
| Professional | | $80.56 | $155.63 | $689.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.63 / $126.50 / $255.89
| Professional | | $79.63 | $126.50 | $255.89 |