- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.58 / $106.20 / $841.88
| Facility | | $49.58 | $106.20 | $841.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.58 / $65.00 / $371.80
| Professional | | $49.58 | $65.00 | $371.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $51.36 / $91.28
| Professional | | $43.65 | $51.36 | $91.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.07 / $89.07 / $89.07
| Facility | | $89.07 | $89.07 | $89.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.07 / $89.07 / $89.07
| Professional | | $89.07 | $89.07 | $89.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.95 / $67.95 / $67.95
| Facility | | $67.95 | $67.95 | $67.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.75 / $75.00 / $190.63
| Professional | | $45.75 | $75.00 | $190.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.78 / $69.73 / $332.00
| Facility | | $36.78 | $69.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.91 / $77.27 / $123.35
| Professional | | $63.91 | $77.27 | $123.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.80 / $71.88 / $125.52
| Professional | | $47.80 | $71.88 | $125.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.68 / $374.68 / $374.68
| Facility | | $374.68 | $374.68 | $374.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.95 / $67.95 / $74,999.25
| Facility | | $67.95 | $67.95 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.93 / $75.00 / $162.47
| Professional | | $48.93 | $75.00 | $162.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.12 / $68.63 / $149.10
| Professional | | $49.12 | $68.63 | $149.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.92 / $64.92 / $76.98
| Facility | | $64.92 | $64.92 | $76.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.39 / $64.92 / $125.52
| Professional | | $48.39 | $64.92 | $125.52 |