- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.84 / $97.31 / $277.45
| Facility | | $34.84 | $97.31 | $277.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.41 / $32.90 / $38.08
| Professional | | $31.41 | $32.90 | $38.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.35 / $63.63 / $231.00
| Facility | | $33.35 | $63.63 | $231.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $36.57 / $89.08
| Professional | | $21.94 | $36.57 | $89.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.30 / $102.39 / $179.00
| Facility | | $64.30 | $102.39 | $179.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.38 / $34.38 / $46.78
| Professional | | $34.38 | $34.38 | $46.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.55 / $54.33 / $124.97
| Facility | | $25.55 | $54.33 | $124.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.06 / $40.42 / $61.92
| Professional | | $22.06 | $40.42 | $61.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.69 / $3,472.00 / $9,239.00
| Facility | | $65.69 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.74 / $52.74 / $62.05
| Professional | | $52.74 | $52.74 | $62.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.57 / $50.69 / $136.11
| Professional | | $36.57 | $50.69 | $136.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.88 / $80.04 / $195.33
| Facility | | $32.88 | $80.04 | $195.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.63 / $231.00 / $231.00
| Facility | | $63.63 | $231.00 | $231.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.55 / $24.52 / $77.19
| Professional | | $17.55 | $24.52 | $77.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.55 / $29.26 / $69.70
| Professional | | $17.55 | $29.26 | $69.70 |