- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.46 / $282.20 / $639.28
| Facility | | $90.46 | $282.20 | $639.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.37 / $123.00 / $124.85
| Professional | | $71.37 | $123.00 | $124.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.89 / $174.00 / $475.00
| Facility | | $73.89 | $174.00 | $475.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.00 / $100.00 / $243.58
| Professional | | $42.00 | $100.00 | $243.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.11 / $226.90 / $396.68
| Facility | | $122.11 | $226.90 | $396.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.00 / $94.00 / $99.00
| Professional | | $94.00 | $94.00 | $99.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.73 / $136.50 / $289.25
| Facility | | $65.73 | $136.50 | $289.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.74 / $114.81 / $152.30
| Professional | | $41.74 | $114.81 | $152.30 |
- 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
- $144.22 / $144.22 / $169.68
| Professional | | $144.22 | $144.22 | $169.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.00 / $138.60 / $322.00
| Professional | | $100.00 | $138.60 | $322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.65 / $105.97 / $144.30
| Facility | | $97.65 | $105.97 | $144.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.00 / $475.00 / $475.00
| Facility | | $174.00 | $475.00 | $475.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $60.00 / $178.62
| Professional | | $30.00 | $60.00 | $178.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.26 / $103.00 / $182.63
| Facility | | $77.26 | $103.00 | $182.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.14 / $60.00 / $130.83
| Professional | | $37.14 | $60.00 | $130.83 |