- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.94 / $68.81 / $560.36
| Facility | | $36.94 | $68.81 | $560.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.29 / $123.36 / $315.25
| Professional | | $22.29 | $123.36 | $315.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.29 / $227.50 / $654.66
| Professional | | $35.29 | $227.50 | $654.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $367.20 / $495.62 / $677.39
| Facility | | $367.20 | $495.62 | $677.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.40 / $129.63 / $519.29
| Professional | | $29.40 | $129.63 | $519.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $139.74 / $315.25
| Facility | | $22.36 | $139.74 | $315.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $139.74 / $315.25
| Facility | | $22.36 | $139.74 | $315.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.66 / $424.76 / $1,264.84
| Professional | | $198.66 | $424.76 | $1,264.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.00 / $136.24 / $277.95
| Professional | | $70.00 | $136.24 | $277.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $139.74 / $315.25
| Facility | | $22.36 | $139.74 | $315.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.99 / $163.66 / $492.22
| Professional | | $44.99 | $163.66 | $492.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.03 / $279.42 / $301.87
| Facility | | $32.03 | $279.42 | $301.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.79 / $598.05 / $1,264.84
| Professional | | $33.79 | $598.05 | $1,264.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.21 / $27.21 / $234.75
| Professional | | $27.21 | $27.21 | $234.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.34 / $228.87 / $557.03
| Professional | | $38.34 | $228.87 | $557.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $191.59 / $296.95 / $670.57
| Professional | | $191.59 | $296.95 | $670.57 |