- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.30 / $118.34 / $156.80
| Facility | | $83.30 | $118.34 | $156.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.21 / $83.30 / $217.76
| Professional | | $34.21 | $83.30 | $217.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.13 / $157.54 / $304.64
| Facility | | $60.13 | $157.54 | $304.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.87 / $51.45 / $204.03
| Professional | | $30.87 | $51.45 | $204.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.91 / $117.13 / $204.78
| Facility | | $81.91 | $117.13 | $204.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.59 / $95.59 / $95.59
| Professional | | $95.59 | $95.59 | $95.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.44 / $70.78 / $117.04
| Facility | | $33.44 | $70.78 | $117.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.91 / $54.40 / $168.52
| Professional | | $30.91 | $54.40 | $168.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.22 / $74.22 / $87.31
| Professional | | $74.22 | $74.22 | $87.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.45 / $51.45 / $167.31
| Professional | | $51.45 | $51.45 | $167.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $940.71 / $940.71 / $1,062.28
| Facility | | $940.71 | $940.71 | $1,062.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.52 / $412.15 / $412.15
| Facility | | $89.52 | $412.15 | $412.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.87 / $30.87 / $257.25
| Professional | | $30.87 | $30.87 | $257.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.87 / $30.87 / $98.84
| Professional | | $30.87 | $30.87 | $98.84 |