- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.69 / $178.67 / $226.79
| Facility | | $55.69 | $178.67 | $226.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.69 / $68.20 / $120.17
| Professional | | $55.69 | $68.20 | $120.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.09 / $174.63 / $818.35
| Facility | | $79.09 | $174.63 | $818.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.06 / $95.84 / $1,410.00
| Professional | | $65.06 | $95.84 | $1,410.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.65 / $206.46 / $352.86
| Facility | | $127.65 | $206.46 | $352.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.60 / $140.97 / $178.93
| Professional | | $111.60 | $140.97 | $178.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.47 / $281.12 / $315.70
| Facility | | $87.47 | $281.12 | $315.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.48 / $138.49 / $223.22
| Professional | | $79.48 | $138.49 | $223.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $149.96 / $6,679.00
| Facility | | $83.43 | $149.96 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.77 / $102.07 / $151.94
| Professional | | $80.77 | $102.07 | $151.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.84 / $160.38 / $221.36
| Professional | | $86.84 | $160.38 | $221.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.61 / $77.61 / $77.61
| Professional | | $77.61 | $77.61 | $77.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.44 / $370.00 / $370.00
| Facility | | $163.44 | $370.00 | $370.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.91 / $104.85 / $1,410.00
| Professional | | $71.91 | $104.85 | $1,410.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.91 / $95.84 / $191.63
| Professional | | $71.91 | $95.84 | $191.63 |