- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $60.26 / $645.65
| Facility | | $48.98 | $60.26 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $64.57 / $100.00
| Professional | | $51.29 | $64.57 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $194.98 / $316.23
| Facility | | $89.13 | $194.98 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $53.70 / $66.07
| Professional | | $6.31 | $53.70 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $74.13
| Facility | | $60.26 | $60.26 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $245.47 / $416.87
| Facility | | $95.50 | $245.47 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $83.18 / $144.54
| Professional | | $54.95 | $83.18 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $467.74 / $467.74
| Facility | | $467.74 | $467.74 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.19 / $562.34 / $562.34
| Professional | | $501.19 | $562.34 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $89.13 / $141.25
| Facility | | $66.07 | $89.13 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $85.11 / $162.18
| Professional | | $52.48 | $85.11 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $33.11 / $52.48
| Professional | | $6.17 | $33.11 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $97.72 / $281.84
| Facility | | $67.61 | $97.72 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $79.43 / $134.90
| Professional | | $54.95 | $79.43 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $77.62 / $120.23
| Professional | | $63.10 | $77.62 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $69.18 / $72.44
| Professional | | $69.18 | $69.18 | $72.44 |