- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.47 / $87.02 / $493.23
| Professional | | $62.47 | $87.02 | $493.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $13.02 / $281.68
| Facility | | $11.75 | $13.02 | $281.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.87 / $130.15 / $203.03
| Professional | | $91.87 | $130.15 | $203.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.00 / $235.00 / $235.00
| Facility | | $235.00 | $235.00 | $235.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.27 / $118.27 / $118.27
| Professional | | $118.27 | $118.27 | $118.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.53 / $70.53 / $170.32
| Facility | | $70.53 | $70.53 | $170.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.49 / $59.95 / $189.38
| Professional | | $51.49 | $59.95 | $189.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.60 / $152.60 / $183.12
| Professional | | $152.60 | $152.60 | $183.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.98 / $134.15 / $258.70
| Professional | | $114.98 | $134.15 | $258.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.37 / $802.71 / $802.71
| Facility | | $239.37 | $802.71 | $802.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.53 / $124.81 / $198.49
| Facility | | $70.53 | $124.81 | $198.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.49 / $70.53 / $124.20
| Professional | | $51.49 | $70.53 | $124.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.64 / $322.64 / $322.64
| Professional | | $322.64 | $322.64 | $322.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.06 / $132.06 / $152.60
| Professional | | $132.06 | $132.06 | $152.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.28 / $80.98 / $146.12
| Professional | | $70.28 | $80.98 | $146.12 |