- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.06 / $207.35 / $377.24
| Facility | | $72.06 | $207.35 | $377.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.27 / $70.73 / $146.50
| Professional | | $53.27 | $70.73 | $146.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.43 / $169.17 / $531.48
| Facility | | $90.43 | $169.17 | $531.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.77 / $116.75 / $271.45
| Professional | | $81.77 | $116.75 | $271.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.28 / $218.40 / $295.41
| Facility | | $160.28 | $218.40 | $295.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.18 / $153.97 / $225.84
| Professional | | $123.18 | $153.97 | $225.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.00 / $90.00 / $317.29
| Facility | | $88.00 | $90.00 | $317.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.09 / $101.18 / $242.70
| Professional | | $71.09 | $101.18 | $242.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.20 / $157.22 / $6,679.00
| Facility | | $104.20 | $157.22 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.79 / $98.82 / $168.00
| Professional | | $59.79 | $98.82 | $168.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.28 / $205.48 / $302.91
| Professional | | $108.28 | $205.48 | $302.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.31 / $202.70 / $402.05
| Facility | | $74.31 | $202.70 | $402.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $157.30 / $157.30 / $157.30
| Professional | | $157.30 | $157.30 | $157.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $230.89 / $531.48
| Facility | | $100.00 | $230.89 | $531.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.77 / $101.50 / $637.99
| Professional | | $81.77 | $101.50 | $637.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.63 / $103.93 / $261.83
| Facility | | $60.63 | $103.93 | $261.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.16 / $52.16 / $52.16
| Professional | | $52.16 | $52.16 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.66 / $101.50 / $271.45
| Professional | | $79.66 | $101.50 | $271.45 |