- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $104.71 / $173.78
| Facility | | $34.67 | $104.71 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $40.74 / $162.18
| Professional | | $28.84 | $40.74 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $151.36 / $891.25
| Facility | | $48.98 | $151.36 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $54.95 / $199.53
| Professional | | $30.90 | $54.95 | $199.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $501.19 / $724.44
| Facility | | $407.38 | $501.19 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $1,000.00 / $1,380.38
| Facility | | $190.55 | $1,000.00 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $74.13 / $131.83
| Professional | | $51.29 | $74.13 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $83.18 / $7,079.46
| Facility | | $50.12 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $64.57 / $93.33
| Professional | | $52.48 | $64.57 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $58.88 / $128.82
| Professional | | $42.66 | $58.88 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $489.78 / $489.78
| Facility | | $489.78 | $489.78 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $151.36 / $891.25
| Facility | | $48.98 | $151.36 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $54.95 / $199.53
| Professional | | $30.90 | $54.95 | $199.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $630.96 / $1,318.26
| Facility | | $371.54 | $630.96 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $66.07 / $169.82
| Professional | | $43.65 | $66.07 | $169.82 |