- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.32 / $6,076.28 / $10,467.24
| Facility | | $44.32 | $6,076.28 | $10,467.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $44.07 / $5,550.00
| Professional | | $40.29 | $44.07 | $5,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.43 / $83.67 / $382.05
| Facility | | $44.43 | $83.67 | $382.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $46.09 / $236.32
| Professional | | $40.29 | $46.09 | $236.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.63 / $40.29 / $93.64
| Facility | | $34.63 | $40.29 | $93.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $40.29 / $45.02
| Professional | | $40.29 | $40.29 | $45.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.29 / $44.11 / $154.68
| Facility | | $40.29 | $44.11 | $154.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $40.29 / $117.79
| Professional | | $40.29 | $40.29 | $117.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.31 / $49.04 / $63.20
| Professional | | $44.31 | $49.04 | $63.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.54 / $49.05 / $95.54
| Facility | | $39.54 | $49.05 | $95.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.99 / $68.16 / $124.40
| Facility | | $39.99 | $68.16 | $124.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.25 / $61.13 / $100.27
| Professional | | $56.25 | $61.13 | $100.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.32 / $55.78 / $139.97
| Facility | | $44.32 | $55.78 | $139.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $44.32 / $48.35
| Professional | | $40.29 | $44.32 | $48.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.29 / $40.29 / $48.35
| Professional | | $40.29 | $40.29 | $48.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.84 / $51.84 / $51.84
| Professional | | $51.84 | $51.84 | $51.84 |