- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.03 / $122.96 / $366.58
| Facility | | $25.03 | $122.96 | $366.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.03 / $40.36 / $111.57
| Professional | | $25.03 | $40.36 | $111.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.47 / $120.32 / $559.45
| Facility | | $43.47 | $120.32 | $559.45 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $12.03 / $12.03 / $12.03
| Facility | AS | $12.03 | $12.03 | $12.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.11 / $50.15 / $159.71
| Professional | | $27.11 | $50.15 | $159.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.70 / $297.42 / $401.34
| Facility | | $35.70 | $297.42 | $401.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.69 / $44.27 / $72.81
| Professional | | $23.69 | $44.27 | $72.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.60 / $47.88 / $119.57
| Professional | | $21.60 | $47.88 | $119.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.77 / $53.00 / $8,090.00
| Facility | | $28.77 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.03 / $44.39 / $71.03
| Professional | | $26.03 | $44.39 | $71.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.90 / $64.17 / $122.43
| Professional | | $29.90 | $64.17 | $122.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.62 / $226.69 / $1,207.07
| Facility | | $96.62 | $226.69 | $1,207.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.32 / $120.32 / $120.32
| Facility | | $120.32 | $120.32 | $120.32 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $12.03 / $12.03 / $12.03
| Facility | AS | $12.03 | $12.03 | $12.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.11 / $50.15 / $268.44
| Professional | | $39.11 | $50.15 | $268.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.97 / $46.72 / $80.23
| Professional | | $37.97 | $46.72 | $80.23 |