- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.37 / $74.56 / $94.50
| Facility | | $31.37 | $74.56 | $94.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.12 / $42.08 / $63.55
| Professional | | $28.12 | $42.08 | $63.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.32 / $163.13 / $243.53
| Facility | | $58.32 | $163.13 | $243.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.07 / $69.04 / $316.30
| Professional | | $42.07 | $69.04 | $316.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.71 / $73.27 / $144.88
| Facility | | $56.71 | $73.27 | $144.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.28 / $93.29 / $122.51
| Professional | | $62.28 | $93.29 | $122.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.56 / $83.24 / $129.44
| Professional | | $47.56 | $83.24 | $129.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.14 / $77.20 / $6,679.00
| Facility | | $58.14 | $77.20 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.36 / $68.78 / $100.20
| Professional | | $38.36 | $68.78 | $100.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.20 / $93.69 / $154.27
| Professional | | $58.20 | $93.69 | $154.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $243.53 / $243.53
| Facility | | $100.00 | $243.53 | $243.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.67 / $81.98 / $394.41
| Professional | | $46.67 | $81.98 | $394.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.46 / $72.86 / $103.56
| Professional | | $51.46 | $72.86 | $103.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.70 / $65.18 / $136.80
| Professional | | $44.70 | $65.18 | $136.80 |