- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.92 / $146.50 / $441.09
| Facility | | $58.92 | $146.50 | $441.09 |
- 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
- $81.69 / $116.75 / $271.45
| Professional | | $81.69 | $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
- $82.21 / $190.88 / $273.74
| Facility | | $82.21 | $190.88 | $273.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.00 / $157.30 / $158.10
| Professional | | $75.00 | $157.30 | $158.10 |
- 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
- $81.69 / $101.50 / $637.99
| Professional | | $81.69 | $101.50 | $637.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.66 / $103.25 / $261.24
| Facility | | $63.66 | $103.25 | $261.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.20 / $101.50 / $181.90
| Professional | | $79.20 | $101.50 | $181.90 |