- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.27 / $114.89 / $1,074.36
| Facility | | $61.27 | $114.89 | $1,074.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.38 / $86.38 / $114.89
| Professional | | $86.38 | $86.38 | $114.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.58 / $59.33 / $103.28
| Professional | | $37.58 | $59.33 | $103.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.42 / $38.42 / $38.42
| Facility | | $38.42 | $38.42 | $38.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.75 / $46.75 / $46.75
| Professional | | $46.75 | $46.75 | $46.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.40 / $293.94 / $983.24
| Facility | | $95.40 | $293.94 | $983.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.53 / $119.36 / $473.95
| Professional | | $56.53 | $119.36 | $473.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.25 / $241.65 / $369.19
| Facility | | $134.25 | $241.65 | $369.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.76 / $79.88 / $240.31
| Professional | | $61.76 | $79.88 | $240.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.31 / $121.24 / $146.38
| Professional | | $79.31 | $121.24 | $146.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.23 / $290.37 / $925.84
| Facility | | $79.23 | $290.37 | $925.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $7.15 / $149.19
| Professional | | $6.44 | $7.15 | $149.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $705.42 / $1,867.26 / $2,464.39
| Facility | | $705.42 | $1,867.26 | $2,464.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.25 / $74.67 / $255.27
| Professional | | $44.25 | $74.67 | $255.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.03 / $146.76 / $146.76
| Facility | | $105.03 | $146.76 | $146.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.33 / $128.22 / $153.38
| Professional | | $80.33 | $128.22 | $153.38 |