- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.44 / $256.27 / $507.00
| Facility | | $83.44 | $256.27 | $507.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.42 / $101.68 / $231.76
| Professional | | $75.42 | $101.68 | $231.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.39 / $226.71 / $469.35
| Facility | | $104.39 | $226.71 | $469.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.55 / $179.78 / $763.46
| Professional | | $94.55 | $179.78 | $763.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.61 / $241.47 / $307.98
| Facility | | $207.61 | $241.47 | $307.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.68 / $187.38 / $261.52
| Professional | | $129.68 | $187.38 | $261.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.00 / $90.00 / $124.95
| Facility | | $88.00 | $90.00 | $124.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.92 / $168.00 / $304.49
| Professional | | $97.92 | $168.00 | $304.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.04 / $160.74 / $6,679.00
| Facility | | $92.04 | $160.74 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.96 / $105.62 / $174.72
| Professional | | $56.96 | $105.62 | $174.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.64 / $224.65 / $287.12
| Professional | | $112.64 | $224.65 | $287.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.61 / $312.76 / $544.78
| Facility | | $170.61 | $312.76 | $544.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.22 / $469.35 / $469.35
| Facility | | $203.22 | $469.35 | $469.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.55 / $200.03 / $763.46
| Professional | | $94.55 | $200.03 | $763.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.55 / $168.72 / $294.56
| Professional | | $94.55 | $168.72 | $294.56 |