- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139.01 / $147.69 / $149.02
| Facility | | $139.01 | $147.69 | $149.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.45 / $106.59 / $149.02
| Professional | | $46.45 | $106.59 | $149.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.28 / $129.37 / $159.46
| Facility | | $96.28 | $129.37 | $159.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.88 / $151.63 / $151.63
| Professional | | $128.88 | $151.63 | $151.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.45 / $33.04 / $65.62
| Facility | | $30.45 | $33.04 | $65.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.14 / $36.57 / $74.67
| Professional | | $34.14 | $36.57 | $74.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.11 / $245.10 / $253.80
| Facility | | $93.11 | $245.10 | $253.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $700.38 / $700.38 / $700.38
| Professional | | $700.38 | $700.38 | $700.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.06 / $78.55 / $227.44
| Facility | | $45.06 | $78.55 | $227.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.67 / $42.67 / $44.05
| Professional | | $42.67 | $42.67 | $44.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.76 / $87.08 / $269.67
| Facility | | $45.76 | $87.08 | $269.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.14 / $36.82 / $84.34
| Professional | | $34.14 | $36.82 | $84.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.00 / $2,000.00 / $8,583.00
| Facility | | $326.00 | $2,000.00 | $8,583.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.98 / $76.87 / $129.21
| Professional | | $60.98 | $76.87 | $129.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.05 / $61.98 / $188.78
| Professional | | $44.05 | $61.98 | $188.78 |