- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.78 / $32.78 / $120.00
| Facility | | $32.78 | $32.78 | $120.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.78 / $48.31 / $120.00
| Professional | | $32.78 | $48.31 | $120.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.86 / $47.75 / $94.55
| Professional | | $38.86 | $47.75 | $94.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.89 / $63.89 / $63.89
| Facility | | $63.89 | $63.89 | $63.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.89 / $63.89 / $63.89
| Professional | | $63.89 | $63.89 | $63.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.80 / $55.80 / $55.80
| Facility | | $55.80 | $55.80 | $55.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.45 / $69.95 / $157.79
| Professional | | $48.45 | $69.95 | $157.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.00 / $82.43 / $332.00
| Facility | | $39.00 | $82.43 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.09 / $72.44 / $118.17
| Professional | | $60.09 | $72.44 | $118.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.96 / $49.96 / $49.96
| Facility | | $49.96 | $49.96 | $49.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.47 / $66.95 / $110.16
| Professional | | $42.47 | $66.95 | $110.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.80 / $555.00 / $74,999.25
| Facility | | $55.80 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $56.33 / $144.72
| Professional | | $35.00 | $56.33 | $144.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.27 / $56.60 / $120.24
| Professional | | $41.27 | $56.60 | $120.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.96 / $64.45 / $87.39
| Facility | | $49.96 | $64.45 | $87.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.55 / $69.62 / $132.01
| Professional | | $44.55 | $69.62 | $132.01 |