- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.79 / $186.12 / $412.74
| Facility | | $40.79 | $186.12 | $412.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.10 / $45.15 / $412.74
| Professional | | $32.10 | $45.15 | $412.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.33 / $154.83 / $376.01
| Facility | | $70.33 | $154.83 | $376.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.68 / $44.55 / $94.22
| Professional | | $25.68 | $44.55 | $94.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.50 / $100.00 / $511.90
| Facility | | $57.50 | $100.00 | $511.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.53 / $35.04 / $100.00
| Professional | | $24.53 | $35.04 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.72 / $91.59 / $210.06
| Facility | | $41.72 | $91.59 | $210.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.32 / $73.51 / $97.58
| Professional | | $29.32 | $73.51 | $97.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.09 / $64.19 / $99.00
| Professional | | $43.09 | $64.19 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.35 / $64.19 / $141.22
| Professional | | $51.35 | $64.19 | $141.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.70 / $304.89 / $304.89
| Facility | | $102.70 | $304.89 | $304.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.51 / $38.51 / $38.51
| Professional | | $38.51 | $38.51 | $38.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.10 / $62.58 / $152.94
| Facility | | $32.10 | $62.58 | $152.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.43 / $54.40 / $77.03
| Professional | | $30.43 | $54.40 | $77.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $225.30 / $225.30 / $225.30
| Professional | | $225.30 | $225.30 | $225.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.95 / $51.35 / $64.19
| Professional | | $43.95 | $51.35 | $64.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.85 / $26.96 / $89.22
| Professional | | $22.85 | $26.96 | $89.22 |