- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.05 / $159.31 / $756.62
| Facility | | $26.05 | $159.31 | $756.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.20 / $159.31 / $451.19
| Professional | | $23.20 | $159.31 | $451.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.46 / $32.82 / $309.91
| Professional | | $22.46 | $32.82 | $309.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.00 / $32.00 / $32.00
| Facility | | $32.00 | $32.00 | $32.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.00 / $32.00 / $481.28
| Professional | | $32.00 | $32.00 | $481.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.22 / $34.22 / $34.22
| Facility | | $34.22 | $34.22 | $34.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.21 / $98.23 / $795.37
| Professional | | $20.21 | $98.23 | $795.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.01 / $35.39 / $332.00
| Facility | | $22.01 | $35.39 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $392.55 / $463.92 / $932.98
| Professional | | $392.55 | $463.92 | $932.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.82 / $411.36 / $728.49
| Professional | | $280.82 | $411.36 | $728.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.22 / $555.00 / $74,999.25
| Facility | | $34.22 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.68 / $354.62 / $841.43
| Professional | | $27.68 | $354.62 | $841.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.18 / $321.17 / $599.85
| Professional | | $198.18 | $321.17 | $599.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.98 / $22.98 / $22.98
| Facility | | $22.98 | $22.98 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.59 / $376.45 / $728.49
| Professional | | $66.59 | $376.45 | $728.49 |