- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.10 / $147.65 / $227.11
| Facility | | $39.10 | $147.65 | $227.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.14 / $55.66 / $125.00
| Professional | | $27.14 | $55.66 | $125.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.55 / $243.54 / $8,639.91
| Facility | | $187.55 | $243.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.35 / $42.35 / $42.35
| Professional | | $42.35 | $42.35 | $42.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.69 / $70.59 / $158.85
| Facility | | $35.69 | $70.59 | $158.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $62.36 / $77.95
| Professional | | $40.29 | $62.36 | $77.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.98 / $32.04 / $73.52
| Professional | | $24.98 | $32.04 | $73.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.63 / $141.63 / $249.00
| Facility | | $141.63 | $141.63 | $249.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.86 / $29.86 / $32.58
| Professional | | $29.86 | $29.86 | $32.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.01 / $128.33 / $224.26
| Facility | | $38.01 | $128.33 | $224.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.29 / $55.66 / $224.26
| Professional | | $35.29 | $55.66 | $224.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.36 / $78.97 / $180.38
| Facility | | $36.36 | $78.97 | $180.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.25 / $62.36 / $77.95
| Professional | | $52.25 | $62.36 | $77.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.30 / $54.30 / $59.73
| Facility | | $54.30 | $54.30 | $59.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.78 / $54.30 / $59.73
| Professional | | $47.78 | $54.30 | $59.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.87 / $65.16 / $65.16
| Facility | | $48.87 | $65.16 | $65.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $32.58 / $93.87
| Professional | | $22.81 | $32.58 | $93.87 |