- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $75.86 / $17,782.79
| Facility | | $19.05 | $75.86 | $17,782.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $53.70 / $87.10
| Professional | | $16.98 | $53.70 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $74.13 / $190.55
| Professional | | $22.91 | $74.13 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $269.15 / $371.54
| Facility | | $50.12 | $269.15 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $74.13 / $223.87
| Professional | | $29.51 | $74.13 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $52.48 / $117.49
| Facility | | $19.95 | $52.48 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $75.86 / $213.80
| Professional | | $38.90 | $75.86 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $53.70 / $128.82
| Facility | | $19.95 | $53.70 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $123.03 / $537.03
| Professional | | $51.29 | $123.03 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $89.13 / $223.87
| Professional | | $30.90 | $89.13 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $158.49 / $263.03
| Facility | | $158.49 | $158.49 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $104.71 / $537.03
| Professional | | $74.13 | $104.71 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $109.65 / $295.12
| Professional | | $35.48 | $109.65 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $537.03 / $537.03
| Facility | | $537.03 | $537.03 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $60.26 / $162.18
| Professional | | $23.44 | $60.26 | $162.18 |