- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.22 / $142.60 / $513.24
| Facility | | $58.22 | $142.60 | $513.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $31.65 / $52.04
| Professional | | $24.82 | $31.65 | $52.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $109.87
| Facility | | $32.01 | $49.44 | $109.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $41.76 / $325.62
| Professional | | $21.05 | $41.76 | $325.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $94.86 / $171.85
| Facility | | $50.39 | $94.86 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $33.32
| Professional | | $32.97 | $32.97 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.31 / $60.03 / $135.51
| Facility | | $33.31 | $60.03 | $135.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $36.88 / $91.12
| Professional | | $21.15 | $36.88 | $91.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.05 / $3,472.00 / $9,239.00
| Facility | | $63.05 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.42 / $50.42 / $59.31
| Professional | | $50.42 | $50.42 | $59.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $108.67
| Professional | | $35.09 | $35.09 | $108.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.38 / $104.67 / $223.39
| Facility | | $46.38 | $104.67 | $223.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $206.00 / $206.00
| Facility | | $73.45 | $206.00 | $206.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $27.10 / $325.62
| Professional | | $21.05 | $27.10 | $325.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.22 / $34.03 / $52.64
| Professional | | $32.22 | $34.03 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.83 / $73.81
| Professional | | $21.05 | $21.83 | $73.81 |