- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.21 / $122.10 / $224.89
| Facility | | $38.21 | $122.10 | $224.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.18 / $41.77 / $47.96
| Professional | | $36.18 | $41.77 | $47.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.60 / $56.53 / $142.44
| Facility | | $36.60 | $56.53 | $142.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.20 / $51.38 / $329.81
| Professional | | $26.20 | $51.38 | $329.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $105.63 / $196.20
| Facility | | $38.79 | $105.63 | $196.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.05 / $41.05 / $51.31
| Professional | | $41.05 | $41.05 | $51.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.06 / $68.62 / $154.86
| Facility | | $38.06 | $68.62 | $154.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.23 / $41.97 / $113.67
| Professional | | $26.23 | $41.97 | $113.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.01 / $63.01 / $74.13
| Professional | | $63.01 | $63.01 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.67 / $43.67 / $142.00
| Professional | | $43.67 | $43.67 | $142.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.98 / $207.43 / $207.43
| Facility | | $75.98 | $207.43 | $207.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.20 / $34.22 / $329.81
| Professional | | $26.20 | $34.22 | $329.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.67 / $61.14 / $101.55
| Facility | | $43.67 | $61.14 | $101.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.20 / $33.61 / $83.24
| Professional | | $26.20 | $33.61 | $83.24 |