- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $177.83 / $245.47
| Facility | | $54.95 | $177.83 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $63.10 / $75.86
| Professional | | $52.48 | $63.10 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $371.54
| Facility | | $371.54 | $371.54 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $398.11
| Professional | | $47.86 | $47.86 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $97.72 / $141.25
| Facility | | $79.43 | $97.72 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Professional | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $61.66 / $125.89
| Facility | | $53.70 | $61.66 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $87.10 / $104.71
| Professional | | $87.10 | $87.10 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $114.82 / $134.90
| Professional | | $114.82 | $114.82 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $128.82
| Professional | | $79.43 | $79.43 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $371.54
| Facility | | $371.54 | $371.54 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $398.11
| Professional | | $47.86 | $47.86 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $95.50
| Facility | | $47.86 | $47.86 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $61.66 / $138.04
| Professional | | $47.86 | $61.66 | $138.04 |