- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $67.61 / $478.63
| Facility | | $19.05 | $67.61 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $33.11 / $537.03
| Professional | | $16.98 | $33.11 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $181.97 / $1,148.15
| Professional | | $23.44 | $181.97 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $1,348.96 / $1,584.89
| Facility | | $776.25 | $1,348.96 | $1,584.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $53.70 / $1,122.02
| Professional | | $18.62 | $53.70 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $52.48 / $1,096.48
| Facility | | $18.62 | $52.48 | $1,096.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $53.70 / $1,122.02
| Professional | | $33.11 | $53.70 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $263.03 / $1,096.48
| Facility | | $18.20 | $263.03 | $1,096.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $288.40 / $1,584.89
| Professional | | $75.86 | $288.40 | $1,584.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $162.18
| Professional | | $32.36 | $33.11 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $234.42 / $1,258.93
| Professional | | $30.20 | $234.42 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $41.69 / $1,288.25
| Facility | | $41.69 | $41.69 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $416.87 / $2,951.21
| Professional | | $14.79 | $416.87 | $2,951.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $154.88 / $1,513.56
| Professional | | $30.20 | $154.88 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $537.03 / $707.95
| Facility | | $537.03 | $537.03 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $75.86 / $380.19
| Professional | | $15.85 | $75.86 | $380.19 |