- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.90 / $47.14 / $56.48
| Facility | | $36.90 | $47.14 | $56.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.36 / $51.12 / $74.98
| Professional | | $39.36 | $51.12 | $74.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,986.00 / $7,901.00 / $9,037.00
| Facility | | $3,986.00 | $7,901.00 | $9,037.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.71 / $56.83 / $87.02
| Professional | | $46.71 | $56.83 | $87.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.59 / $46.59 / $46.59
| Facility | | $46.59 | $46.59 | $46.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.91 / $76.02 / $111.64
| Professional | | $58.91 | $76.02 | $111.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.88 / $5,294.00 / $5,294.00
| Facility | | $119.88 | $5,294.00 | $5,294.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.35 / $588.60 / $612.15
| Professional | | $460.35 | $588.60 | $612.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.06 / $63.78 / $112.96
| Facility | | $49.06 | $63.78 | $112.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.12 / $78.59 / $94.32
| Professional | | $68.12 | $78.59 | $94.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.30 / $78.30 / $78.30
| Professional | | $78.30 | $78.30 | $78.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.06 / $64.23 / $118.99
| Facility | | $49.06 | $64.23 | $118.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.00 / $78.16 / $121.43
| Professional | | $57.00 | $78.16 | $121.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.18 / $64.23 / $106.21
| Professional | | $48.18 | $64.23 | $106.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.72 / $51.27 / $70.11
| Professional | | $44.72 | $51.27 | $70.11 |