- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.57 / $120.48 / $256.68
| Facility | | $83.57 | $120.48 | $256.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.47 / $90.78 / $140.40
| Professional | | $66.47 | $90.78 | $140.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.15 / $191.89 / $436.00
| Facility | | $86.15 | $191.89 | $436.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.93 / $118.69 / $255.09
| Professional | | $74.93 | $118.69 | $255.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.64 / $226.68 / $293.98
| Facility | | $187.64 | $226.68 | $293.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.03 / $126.29 / $185.23
| Professional | | $101.03 | $126.29 | $185.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.43 / $115.00 / $296.61
| Facility | | $38.43 | $115.00 | $296.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.06 / $98.72 / $237.22
| Professional | | $81.06 | $98.72 | $237.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.69 / $128.75 / $6,679.00
| Facility | | $85.69 | $128.75 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.17 / $81.06 / $137.80
| Professional | | $49.17 | $81.06 | $137.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $170.89 / $261.16
| Professional | | $89.13 | $170.89 | $261.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.79 / $149.88 / $252.78
| Facility | | $130.79 | $149.88 | $252.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.33 / $131.33 / $131.33
| Professional | | $131.33 | $131.33 | $131.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.89 / $436.00 / $436.00
| Facility | | $191.89 | $436.00 | $436.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.66 / $128.78 / $537.75
| Professional | | $85.66 | $128.78 | $537.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.07 / $115.08 / $245.31
| Professional | | $84.07 | $115.08 | $245.31 |