- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.04 / $128.01 / $336.83
| Facility | | $51.04 | $128.01 | $336.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.82 / $49.90 / $106.18
| Professional | | $38.82 | $49.90 | $106.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $37.72
| Professional | | $5.00 | $5.50 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.59 / $68.59 / $80.00
| Facility | | $68.59 | $68.59 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.58 / $157.81 / $362.87
| Facility | | $78.58 | $157.81 | $362.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.84 / $51.01 / $141.01
| Professional | | $38.84 | $51.01 | $141.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.07 / $327.87 / $327.87
| Facility | | $168.07 | $327.87 | $327.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $514.50 / $777.00 / $777.00
| Professional | | $514.50 | $777.00 | $777.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.31 / $89.18 / $156.79
| Facility | | $56.31 | $89.18 | $156.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.59 / $68.59 / $95.14
| Professional | | $68.59 | $68.59 | $95.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.59 / $82.32 / $154.35
| Professional | | $44.59 | $82.32 | $154.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.57 / $106.63 / $250.60
| Facility | | $55.57 | $106.63 | $250.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.68 / $68.04 / $133.38
| Professional | | $39.68 | $68.04 | $133.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.16 / $57.22 / $136.03
| Professional | | $41.16 | $57.22 | $136.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.53 / $38.86 / $68.59
| Professional | | $35.53 | $38.86 | $68.59 |