- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.90 / $108.09 / $160.19
| Facility | | $35.90 | $108.09 | $160.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.90 / $38.15 / $50.69
| Professional | | $35.90 | $38.15 | $50.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.60 / $151.00 / $889.26
| Facility | | $48.60 | $151.00 | $889.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.51 / $57.37 / $209.38
| Professional | | $32.51 | $57.37 | $209.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.04 / $578.05 / $1,084.17
| Facility | | $220.04 | $578.05 | $1,084.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.03 / $1,052.30 / $1,364.70
| Facility | | $178.03 | $1,052.30 | $1,364.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.42 / $73.45 / $131.44
| Professional | | $52.42 | $73.45 | $131.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.91 / $90.72 / $6,679.00
| Facility | | $48.91 | $90.72 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $59.10 / $91.92
| Professional | | $46.77 | $59.10 | $91.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.15 / $93.24 / $648.66
| Professional | | $49.15 | $93.24 | $648.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.88 / $494.88 / $494.88
| Facility | | $494.88 | $494.88 | $494.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.75 / $130.75 / $130.75
| Professional | | $130.75 | $130.75 | $130.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.08 / $85.08 / $214.42
| Facility | | $85.08 | $85.08 | $214.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.25 / $65.81 / $256.51
| Professional | | $45.25 | $65.81 | $256.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.76 / $59.49 / $135.46
| Professional | | $43.76 | $59.49 | $135.46 |