- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.15 / $198.10 / $472.79
| Facility | | $60.15 | $198.10 | $472.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.62 / $81.19 / $178.89
| Professional | | $49.62 | $81.19 | $178.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.03 / $98.89 / $219.80
| Facility | | $64.03 | $98.89 | $219.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $75.00 / $577.21
| Professional | | $42.12 | $75.00 | $577.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.39 / $185.05 / $343.70
| Facility | | $50.39 | $185.05 | $343.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.73 / $119.98 / $271.01
| Facility | | $62.73 | $119.98 | $271.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.09 / $67.34 / $183.14
| Professional | | $42.09 | $67.34 | $183.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.20 / $119.04 / $6,679.00
| Facility | | $70.20 | $119.04 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.56 / $98.28 / $149.53
| Professional | | $77.56 | $98.28 | $149.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.20 / $70.20 / $217.40
| Professional | | $70.20 | $70.20 | $217.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.65 / $116.14 / $403.83
| Facility | | $82.65 | $116.14 | $403.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $210.60 / $210.60 / $210.60
| Professional | | $210.60 | $210.60 | $210.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.15 / $334.95 / $334.95
| Facility | | $122.15 | $334.95 | $334.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $54.22 / $577.21
| Professional | | $42.12 | $54.22 | $577.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.88 / $75.47 / $114.43
| Facility | | $55.88 | $75.47 | $114.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.43 / $68.09 / $105.30
| Professional | | $64.43 | $68.09 | $105.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.48 / $43.67 / $133.81
| Professional | | $29.48 | $43.67 | $133.81 |