- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.00 / $136.71 / $561.23
| Facility | | $105.00 | $136.71 | $561.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.68 / $105.00 / $122.78
| Professional | | $60.68 | $105.00 | $122.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.18 / $120.80 / $352.72
| Facility | | $92.18 | $120.80 | $352.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.15 / $104.82 / $135.63
| Professional | | $91.15 | $104.82 | $135.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.30 / $88.21 / $145.75
| Facility | | $58.30 | $88.21 | $145.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.49 / $112.49 / $124.99
| Professional | | $112.49 | $112.49 | $124.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.30 / $85.99 / $164.63
| Facility | | $44.30 | $85.99 | $164.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.73 / $124.10 / $132.16
| Professional | | $105.73 | $124.10 | $132.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.88 / $20.62 / $163.65
| Professional | | $14.88 | $20.62 | $163.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $331.88
| Facility | | $60.00 | $60.00 | $331.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.00 / $270.00 / $270.00
| Facility | | $270.00 | $270.00 | $270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.46 / $53.65 / $212.18
| Professional | | $21.46 | $53.65 | $212.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $53.65 / $212.18
| Professional | | $11.16 | $53.65 | $212.18 |