- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.53 / $208.09 / $390.90
| Facility | | $120.53 | $208.09 | $390.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.09 / $105.36 / $118.25
| Professional | | $95.09 | $105.36 | $118.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $198.69 / $1,350.16
| Facility | | $59.40 | $198.69 | $1,350.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.91 / $139.87 / $561.76
| Facility | | $121.91 | $139.87 | $561.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.90 / $297.45 / $630.27
| Facility | | $50.90 | $297.45 | $630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.63 / $170.67 / $215.78
| Facility | | $142.63 | $170.67 | $215.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.15 / $73.15 / $127.94
| Professional | | $73.15 | $73.15 | $127.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.91 / $121.91 / $185.30
| Professional | | $121.91 | $121.91 | $185.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.53 / $759.66 / $846.27
| Professional | | $147.53 | $759.66 | $846.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $79.23 / $204.71
| Professional | | $55.47 | $79.23 | $204.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.69 / $206.02 / $365.69
| Facility | | $115.69 | $206.02 | $365.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.01 / $148.41 / $177.81
| Professional | | $140.01 | $148.41 | $177.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.91 / $121.91 / $121.91
| Facility | | $121.91 | $121.91 | $121.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.20 / $73.15 / $166.32
| Professional | | $51.20 | $73.15 | $166.32 |