- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $1,148.15 / $3,467.37
| Facility | | $97.72 | $1,148.15 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $371.54 / $371.54 / $457.09
| Facility | 50 | $371.54 | $371.54 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $60.26 / $125.89
| Professional | | $33.88 | $60.26 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $46.77 / $104.71 / $223.87
| Professional | 50 | $46.77 | $104.71 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $47.86 / $60.26
| Professional | | $26.92 | $47.86 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $47.86 / $72.44 / $91.20
| Professional | 50 | $47.86 | $72.44 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $426.58 / $645.65
| Facility | | $102.33 | $426.58 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $57.54 / $85.11
| Professional | | $38.90 | $57.54 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $263.03 / $263.03
| Facility | | $39.81 | $263.03 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $426.58 / $426.58
| Facility | | $426.58 | $426.58 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $60.26 / $91.20
| Professional | | $38.90 | $60.26 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $501.19 / $1,202.26
| Facility | | $213.80 | $501.19 | $1,202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $50.12 / $83.18
| Professional | | $32.36 | $50.12 | $83.18 |