- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.36 / $181.77 / $391.46
| Facility | | $61.36 | $181.77 | $391.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.10 / $61.36 / $88.45
| Professional | | $58.10 | $61.36 | $88.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.75 / $112.07 / $334.00
| Facility | | $58.75 | $112.07 | $334.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.65 / $64.41 / $241.86
| Professional | | $38.65 | $64.41 | $241.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.60 / $191.55 / $316.50
| Facility | | $126.60 | $191.55 | $316.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.55 / $60.55 / $82.39
| Professional | | $60.55 | $60.55 | $82.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.01 / $95.69 / $220.07
| Facility | | $45.01 | $95.69 | $220.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.72 / $71.20 / $108.92
| Professional | | $38.72 | $71.20 | $108.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.89 / $92.89 / $109.28
| Professional | | $92.89 | $92.89 | $109.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.41 / $89.27 / $239.76
| Professional | | $64.41 | $89.27 | $239.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.72 / $85.15 / $333.31
| Facility | | $74.72 | $85.15 | $333.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.07 / $334.00 / $334.00
| Facility | | $112.07 | $334.00 | $334.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.92 / $43.20 / $350.00
| Professional | | $30.92 | $43.20 | $350.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.81 / $71.09 / $96.97
| Facility | | $65.81 | $71.09 | $96.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.92 / $38.65 / $350.00
| Professional | | $30.92 | $38.65 | $350.00 |