- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.66 / $93.91 / $522.23
| Facility | | $44.66 | $93.91 | $522.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.71 / $50.62 / $440.78
| Professional | | $38.71 | $50.62 | $440.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.47 / $165.34 / $401.55
| Facility | | $73.47 | $165.34 | $401.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.42 / $63.30 / $155.01
| Professional | | $27.42 | $63.30 | $155.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.56 / $100.00 / $193.31
| Facility | | $49.56 | $100.00 | $193.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.92 / $38.65 / $100.00
| Professional | | $30.92 | $38.65 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.56 / $118.53 / $229.48
| Facility | | $44.56 | $118.53 | $229.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $45.45 / $198.85
| Professional | | $32.33 | $45.45 | $198.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.55 / $75.41 / $92.54
| Professional | | $68.55 | $75.41 | $92.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.70 / $78.83 / $150.81
| Professional | | $61.70 | $78.83 | $150.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.28 / $325.61 / $325.61
| Facility | | $119.28 | $325.61 | $325.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $342.75 / $342.75 / $514.13
| Professional | | $342.75 | $342.75 | $514.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.55 / $68.55 / $68.55
| Professional | | $68.55 | $68.55 | $68.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.62 / $82.26 / $197.00
| Facility | | $50.62 | $82.26 | $197.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.49 / $78.83 / $140.81
| Professional | | $36.49 | $78.83 | $140.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $240.61 / $240.61 / $240.61
| Professional | | $240.61 | $240.61 | $240.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.01 / $28.79 / $136.19
| Professional | | $25.01 | $28.79 | $136.19 |