- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.31 / $77.45 / $203.80
| Facility | | $47.31 | $77.45 | $203.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.98 / $28.81 / $67.11
| Professional | | $14.98 | $28.81 | $67.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.45 / $99.36 / $248.05
| Facility | | $44.45 | $99.36 | $248.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.26 / $57.30 / $137.36
| Professional | | $39.26 | $57.30 | $137.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.28 / $188.76 / $243.78
| Facility | | $160.28 | $188.76 | $243.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.45 / $71.81 / $98.87
| Professional | | $57.45 | $71.81 | $98.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.86 / $88.00 / $94.35
| Facility | | $73.86 | $88.00 | $94.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.36 / $73.06 / $116.85
| Professional | | $40.36 | $73.06 | $116.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.90 / $75.75 / $6,679.00
| Facility | | $48.90 | $75.75 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.51 / $44.52 / $77.00
| Professional | | $27.51 | $44.52 | $77.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.44 / $93.81 / $142.47
| Professional | | $49.44 | $93.81 | $142.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.23 / $101.76 / $227.74
| Facility | | $72.23 | $101.76 | $227.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.21 / $223.21 / $223.21
| Professional | | $223.21 | $223.21 | $223.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.72 / $248.05 / $248.05
| Facility | | $100.72 | $248.05 | $248.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.69 / $52.94 / $309.81
| Professional | | $34.69 | $52.94 | $309.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.69 / $51.57 / $97.22
| Professional | | $34.69 | $51.57 | $97.22 |