- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $120.23 / $257.04
| Facility | | $35.48 | $120.23 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $42.66 / $61.66
| Professional | | $30.90 | $42.66 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $223.87
| Facility | | $42.66 | $64.57 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $41.69 / $97.72
| Professional | | $19.05 | $41.69 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $114.82 / $165.96
| Facility | | $91.20 | $114.82 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $44.67 / $45.71
| Professional | | $17.78 | $44.67 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $74.13 / $181.97
| Facility | | $30.90 | $74.13 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $57.54 / $79.43
| Professional | | $28.18 | $57.54 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $3,630.78 / $9,772.37
| Facility | | $12.59 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $67.61 / $79.43
| Professional | | $67.61 | $67.61 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $100.00
| Professional | | $46.77 | $46.77 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $58.88 / $123.03
| Facility | | $17.78 | $58.88 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $223.87
| Facility | | $42.66 | $64.57 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $41.69 / $97.72
| Professional | | $19.05 | $41.69 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $50.12 / $75.86
| Facility | | $14.13 | $50.12 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $46.77 / $77.62
| Facility | | $23.44 | $46.77 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $31.62 / $79.43
| Professional | | $11.48 | $31.62 | $79.43 |