- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.39 / $147.90 / $360.00
| Facility | | $69.39 | $147.90 | $360.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.59 / $27.03 / $78.77
| Professional | | $25.59 | $27.03 | $78.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.20 / $92.07 / $374.16
| Facility | | $58.20 | $92.07 | $374.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.63 / $69.47 / $164.49
| Professional | | $23.63 | $69.47 | $164.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.71 / $173.12 / $313.63
| Facility | | $55.71 | $173.12 | $313.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $74.04 / $77.98
| Professional | | $36.29 | $74.04 | $77.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.37 / $56.91 / $109.58
| Facility | | $31.37 | $56.91 | $109.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.78 / $47.46 / $119.78
| Professional | | $20.78 | $47.46 | $119.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.89 / $113.89 / $133.97
| Professional | | $113.89 | $113.89 | $133.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.77 / $103.18 / $253.64
| Professional | | $78.77 | $103.18 | $253.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.40 / $284.70 / $303.79
| Facility | | $146.40 | $284.70 | $303.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.06 / $374.16 / $374.16
| Facility | | $137.06 | $374.16 | $374.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $39.65 / $60.84
| Professional | | $5.25 | $39.65 | $60.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.92 / $81.13 / $184.71
| Facility | | $33.92 | $81.13 | $184.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $47.26 / $78.77
| Professional | | $5.25 | $47.26 | $78.77 |