- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.12 / $155.11 / $499.98
| Facility | | $122.12 | $155.11 | $499.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.95 / $95.49 / $324.80
| Professional | | $66.95 | $95.49 | $324.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.84 / $224.75 / $556.70
| Facility | | $86.84 | $224.75 | $556.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.84 / $147.68 / $304.77
| Professional | | $86.84 | $147.68 | $304.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.63 / $185.07 / $242.54
| Facility | | $135.63 | $185.07 | $242.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.69 / $163.44 / $190.21
| Professional | | $109.69 | $163.44 | $190.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $115.00 / $140.00
| Facility | | $90.00 | $115.00 | $140.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.63 / $167.19 / $315.83
| Professional | | $98.63 | $167.19 | $315.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.09 / $165.41 / $6,679.00
| Facility | | $110.09 | $165.41 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.17 / $103.54 / $176.14
| Professional | | $63.17 | $103.54 | $176.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.89 / $220.29 / $336.65
| Professional | | $114.89 | $220.29 | $336.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.59 / $345.51 / $591.22
| Facility | | $148.59 | $345.51 | $591.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.28 / $169.28 / $169.28
| Professional | | $169.28 | $169.28 | $169.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.00 / $251.71 / $556.70
| Facility | | $110.00 | $251.71 | $556.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.39 / $146.28 / $692.10
| Professional | | $92.39 | $146.28 | $692.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.05 / $121.48 / $285.08
| Professional | | $86.05 | $121.48 | $285.08 |