- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $95.50 / $389.05
| Facility | | $44.67 | $95.50 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $30.20 / $144.54
| Professional | | $17.38 | $30.20 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $45.71 / $223.87
| Facility | | $29.51 | $45.71 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $32.36 / $81.28
| Professional | | $17.78 | $32.36 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $79.43 / $128.82
| Facility | | $64.57 | $79.43 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $41.69
| Professional | | $30.90 | $30.90 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $51.29 / $125.89
| Facility | | $25.70 | $51.29 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $39.81 / $91.20
| Professional | | $24.55 | $39.81 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $3,630.78 / $9,772.37
| Facility | | $47.86 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $54.95
| Professional | | $46.77 | $46.77 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $100.00
| Professional | | $32.36 | $32.36 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $407.38 / $467.74
| Facility | | $75.86 | $407.38 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $45.71 / $223.87
| Facility | | $29.51 | $45.71 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $32.36 / $81.28
| Professional | | $17.78 | $32.36 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $32.36 / $54.95
| Facility | | $18.62 | $32.36 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $27.54 / $77.62
| Professional | | $16.22 | $27.54 | $77.62 |