- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.45 / $121.54 / $443.46
| Facility | | $82.45 | $121.54 | $443.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.06 / $82.46 / $137.54
| Professional | | $65.06 | $82.46 | $137.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.95 / $153.12 / $357.30
| Facility | | $65.95 | $153.12 | $357.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.54 / $130.38 / $308.42
| Professional | | $71.54 | $130.38 | $308.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.75 / $179.62 / $236.01
| Facility | | $88.75 | $179.62 | $236.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.88 / $101.99 / $175.52
| Professional | | $82.88 | $101.99 | $175.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $110.00 / $248.57
| Facility | | $80.00 | $110.00 | $248.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.06 / $115.77 / $255.26
| Professional | | $81.06 | $115.77 | $255.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.33 / $106.54 / $6,679.00
| Facility | | $72.33 | $106.54 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.55 / $81.81 / $139.10
| Professional | | $49.55 | $81.81 | $139.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.24 / $152.93 / $234.08
| Professional | | $87.24 | $152.93 | $234.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.94 / $233.73 / $492.82
| Facility | | $110.94 | $233.73 | $492.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.33 / $132.33 / $132.33
| Professional | | $132.33 | $132.33 | $132.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.48 / $357.30 / $357.30
| Facility | | $276.48 | $357.30 | $357.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.53 / $168.72 / $763.46
| Professional | | $94.53 | $168.72 | $763.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.44 / $57.46 / $241.75
| Facility | | $51.44 | $57.46 | $241.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.82 / $130.16 / $245.66
| Professional | | $83.82 | $130.16 | $245.66 |