- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.46 / $63.84 / $118.74
| Facility | | $49.46 | $63.84 | $118.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.64 / $64.40 / $200.00
| Professional | | $33.64 | $64.40 | $200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.71 / $89.29 / $267.00
| Facility | | $38.71 | $89.29 | $267.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.50 / $75.50 / $568.04
| Professional | | $36.50 | $75.50 | $568.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.96 / $117.04 / $152.44
| Facility | | $98.96 | $117.04 | $152.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.54 / $41.54 / $80.45
| Facility | | $41.54 | $41.54 | $80.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.36 / $86.60 / $150.33
| Professional | | $40.36 | $86.60 | $150.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.04 / $74.66 / $6,679.00
| Facility | | $42.04 | $74.66 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.02 / $39.04 / $65.70
| Professional | | $21.02 | $39.04 | $65.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.83 / $80.34 / $114.62
| Professional | | $43.83 | $80.34 | $114.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.32 / $65.06 / $114.17
| Professional | | $49.32 | $65.06 | $114.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.79 / $267.00 / $267.00
| Facility | | $83.79 | $267.00 | $267.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.27 / $78.65 / $568.04
| Professional | | $43.27 | $78.65 | $568.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.65 / $50.55 / $58.07
| Professional | | $29.65 | $50.55 | $58.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.41 / $74.66 / $119.92
| Professional | | $42.41 | $74.66 | $119.92 |