- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.34 / $143.63 / $202.32
| Professional | | $91.34 | $143.63 | $202.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $153.44 / $153.44 / $245.72
| Professional | | $153.44 | $153.44 | $245.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $142.38 / $189.85
| Facility | | $18.98 | $142.38 | $189.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.98 / $142.38 / $189.85
| Professional | | $18.98 | $142.38 | $189.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.15 / $83.15 / $83.15
| Facility | | $83.15 | $83.15 | $83.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.70 / $83.15 / $177.98
| Professional | | $60.70 | $83.15 | $177.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.67 / $132.94 / $204.53
| Professional | | $120.67 | $132.94 | $204.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.31 / $156.51 / $161.91
| Professional | | $147.31 | $156.51 | $161.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.15 / $83.15 / $83.15
| Facility | | $83.15 | $83.15 | $83.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.70 / $83.15 / $177.98
| Professional | | $60.70 | $83.15 | $177.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.52 / $113.47 / $173.80
| Professional | | $69.52 | $113.47 | $173.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.31 / $147.31 / $147.31
| Facility | | $147.31 | $147.31 | $147.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.31 / $147.31 / $161.91
| Professional | | $147.31 | $147.31 | $161.91 |