- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.61 / $137.74 / $556.91
| Facility | | $59.61 | $137.74 | $556.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.64 / $71.42 / $202.17
| Professional | | $39.64 | $71.42 | $202.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.24 / $172.56 / $392.92
| Facility | | $84.24 | $172.56 | $392.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.25 / $107.09 / $228.63
| Professional | | $65.25 | $107.09 | $228.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.25 / $185.07 / $242.54
| Facility | | $127.25 | $185.07 | $242.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.28 / $101.28 / $101.28
| Professional | | $101.28 | $101.28 | $101.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.31 / $120.00 / $175.26
| Facility | | $46.31 | $120.00 | $175.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $112.29 / $267.58
| Professional | | $40.00 | $112.29 | $267.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.51 / $116.46 / $6,679.00
| Facility | | $77.51 | $116.46 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.82 / $72.47 / $124.02
| Professional | | $42.82 | $72.47 | $124.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.78 / $154.87 / $236.68
| Professional | | $80.78 | $154.87 | $236.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.97 / $216.70 / $340.56
| Facility | | $137.97 | $216.70 | $340.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.85 / $117.85 / $117.85
| Professional | | $117.85 | $117.85 | $117.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.00 / $392.92 / $392.92
| Facility | | $110.00 | $392.92 | $392.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.76 / $115.00 / $483.64
| Professional | | $73.76 | $115.00 | $483.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.81 / $69.29 / $141.94
| Facility | | $57.81 | $69.29 | $141.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.88 / $102.33 / $219.02
| Professional | | $65.88 | $102.33 | $219.02 |