- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $39.46 / $917.00
| Facility | | $16.44 | $39.46 | $917.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.29 / $27.01 / $50.07
| Professional | | $18.29 | $27.01 | $50.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.15 / $78.29 / $147.76
| Facility | | $34.15 | $78.29 | $147.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $24.93 / $41.82
| Professional | | $20.07 | $24.93 | $41.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.98 / $27.96 / $46.70
| Professional | | $23.98 | $27.96 | $46.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.19 / $124.66 / $124.66
| Facility | | $24.19 | $124.66 | $124.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.40 / $489.72 / $1,846.00
| Facility | | $43.40 | $489.72 | $1,846.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.12 / $43.09 / $87.39
| Professional | | $27.12 | $43.09 | $87.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.02 / $557.58 / $620.88
| Facility | | $328.02 | $557.58 | $620.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $622.52 / $1,180.70 / $1,219.67
| Professional | | $622.52 | $1,180.70 | $1,219.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.85 / $49.93 / $86.07
| Facility | | $23.85 | $49.93 | $86.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.46 / $37.11 / $45.12
| Professional | | $28.46 | $37.11 | $45.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $31.34 / $50.79
| Professional | | $24.30 | $31.34 | $50.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.81 / $50.70 / $101.85
| Facility | | $23.81 | $50.70 | $101.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.28 / $44.21 / $79.40
| Professional | | $27.28 | $44.21 | $79.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.93 / $38.22 / $66.34
| Professional | | $23.93 | $38.22 | $66.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.71 / $23.98 / $33.57
| Professional | | $20.71 | $23.98 | $33.57 |