- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.09 / $88.18 / $103.74
| Facility | | $74.09 | $88.18 | $103.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.76 / $83.98 / $113.25
| Professional | | $73.76 | $83.98 | $113.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.63 / $107.16 / $282.22
| Facility | | $88.63 | $107.16 | $282.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.12 / $96.26 / $177.48
| Professional | | $71.12 | $96.26 | $177.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.50 / $73.34 / $181.47
| Professional | | $55.50 | $73.34 | $181.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.83 / $106.65 / $218.30
| Professional | | $80.83 | $106.65 | $218.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.79 / $90.32 / $99.35
| Professional | | $37.79 | $90.32 | $99.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.36 / $94.47 / $187.47
| Professional | | $73.36 | $94.47 | $187.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.97 / $363.31 / $395.96
| Facility | | $172.97 | $363.31 | $395.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $546.41 / $546.41 / $546.41
| Professional | | $546.41 | $546.41 | $546.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.36 / $134.91 / $168.23
| Facility | | $83.36 | $134.91 | $168.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.00 / $111.29 / $218.30
| Professional | | $78.00 | $111.29 | $218.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.47 / $235.47 / $235.47
| Professional | | $235.47 | $235.47 | $235.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.14 / $64.26 / $82.09
| Professional | | $49.14 | $64.26 | $82.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.66 / $104.22 / $255.74
| Professional | | $69.66 | $104.22 | $255.74 |