- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.47 / $94.45 / $192.99
| Facility | | $33.47 | $94.45 | $192.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.91 / $26.14 / $50.15
| Professional | | $23.91 | $26.14 | $50.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.73 / $38.27 / $104.79
| Facility | | $24.73 | $38.27 | $104.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.04 / $36.82 / $397.00
| Professional | | $21.04 | $36.82 | $397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.84 / $73.51 / $133.18
| Facility | | $47.84 | $73.51 | $133.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.46 / $32.10 / $33.14
| Professional | | $31.46 | $32.10 | $33.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.93 / $50.00 / $96.92
| Facility | | $25.93 | $50.00 | $96.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.77 / $35.42 / $87.51
| Professional | | $17.77 | $35.42 | $87.51 |
- 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
- $48.08 / $48.08 / $56.56
| Professional | | $48.08 | $48.08 | $56.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.47 / $66.06 / $96.07
| Professional | | $33.47 | $66.06 | $96.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.52 / $259.52 / $259.52
| Facility | | $259.52 | $259.52 | $259.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.24 / $230.00 / $230.00
| Facility | | $58.24 | $230.00 | $230.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $35.07 / $397.00
| Professional | | $20.07 | $35.07 | $397.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $33.47 / $76.31
| Professional | | $20.07 | $33.47 | $76.31 |