- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.01 / $38.20 / $2,682.00
| Facility | | $31.01 | $38.20 | $2,682.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.01 / $37.29 / $38.20
| Professional | | $31.01 | $37.29 | $38.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.47 / $44.94 / $88.77
| Professional | | $34.47 | $44.94 | $88.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.97 / $31.97 / $33.57
| Facility | | $31.97 | $31.97 | $33.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.97 / $31.97 / $31.97
| Professional | | $31.97 | $31.97 | $31.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.65 / $85.00 / $85.00
| Facility | | $33.65 | $85.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $58.05
| Professional | | $44.94 | $44.94 | $58.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.52 / $56.83 / $332.00
| Facility | | $35.52 | $56.83 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $51.68
| Professional | | $44.94 | $44.94 | $51.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.61 / $40.61 / $40.61
| Facility | | $40.61 | $40.61 | $40.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.27 / $42.37 / $45.08
| Professional | | $42.27 | $42.37 | $45.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.65 / $85.00 / $597.00
| Facility | | $33.65 | $85.00 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $58.05
| Professional | | $44.94 | $44.94 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.94 / $50.94 / $71.38
| Professional | | $50.94 | $50.94 | $71.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.61 / $40.61 / $42.37
| Facility | | $40.61 | $40.61 | $42.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.27 / $42.27 / $42.37
| Professional | | $42.27 | $42.27 | $42.37 |