- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.03 / $98.78 / $239.91
| Facility | | $68.03 | $98.78 | $239.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.60 / $98.16 / $146.30
| Professional | | $61.60 | $98.16 | $146.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.49 / $238.63 / $325.20
| Facility | | $83.49 | $238.63 | $325.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.23 / $99.16 / $116.81
| Professional | | $86.23 | $99.16 | $116.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.18 / $120.54 / $267.00
| Facility | | $102.18 | $120.54 | $267.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.16 / $98.16 / $98.16
| Professional | | $98.16 | $98.16 | $98.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.58 / $96.58 / $96.58
| Facility | | $96.58 | $96.58 | $96.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.58 / $96.58 / $96.58
| Professional | | $96.58 | $96.58 | $96.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.16 / $155.09 / $8,090.00
| Facility | | $98.16 | $155.09 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.44 / $98.16 / $203.86
| Professional | | $83.44 | $98.16 | $203.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.28 / $516.16 / $573.53
| Facility | | $50.28 | $516.16 | $573.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.49 / $106.49 / $175.78
| Facility | | $106.49 | $106.49 | $175.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.23 / $103.33 / $129.35
| Professional | | $86.23 | $103.33 | $129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.06 / $68.81 / $171.09
| Facility | | $33.06 | $68.81 | $171.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.68 / $69.70 / $125.24
| Professional | | $26.68 | $69.70 | $125.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.23 / $103.33 / $120.73
| Professional | | $86.23 | $103.33 | $120.73 |