- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.83 / $138.11 / $216.00
| Facility | | $41.83 | $138.11 | $216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $46.24 / $61.75
| Professional | | $9.02 | $46.24 | $61.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.64 / $51.64 / $85.21
| Professional | | $51.64 | $51.64 | $85.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.42 / $338.18 / $8,639.91
| Facility | | $260.42 | $338.18 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.28 / $40.28 / $40.28
| Professional | | $40.28 | $40.28 | $40.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.94 / $68.77 / $171.68
| Facility | | $33.94 | $68.77 | $171.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.47 / $58.15 / $77.01
| Professional | | $25.47 | $58.15 | $77.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.75 / $41.31 / $69.92
| Professional | | $23.75 | $41.31 | $69.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.45 / $54.45 / $54.45
| Professional | | $54.45 | $54.45 | $54.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.89 / $140.41 / $216.00
| Facility | | $43.89 | $140.41 | $216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.37 / $55.05 / $130.35
| Professional | | $27.37 | $55.05 | $130.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.58 / $77.63 / $171.68
| Facility | | $34.58 | $77.63 | $171.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.47 / $58.15 / $74.34
| Professional | | $25.47 | $58.15 | $74.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.64 / $51.64 / $51.64
| Facility | | $51.64 | $51.64 | $51.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.44 / $51.64 / $73.50
| Professional | | $45.44 | $51.64 | $73.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.69 / $33.04 / $94.50
| Professional | | $21.69 | $33.04 | $94.50 |