- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.60 / $376.80 / $739.15
| Facility | | $61.60 | $376.80 | $739.15 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $359.18 / $359.18 / $438.15
| Facility | 50 | $359.18 | $359.18 | $438.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.18 / $68.62 / $87.31
| Professional | | $43.18 | $68.62 | $87.31 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $99.56 / $99.56 / $1,460.07
| Professional | 50 | $99.56 | $99.56 | $1,460.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.24 / $75.73 / $99.57
| Professional | | $55.24 | $75.73 | $99.57 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $82.86 / $113.61 / $149.35
| Professional | 50 | $82.86 | $113.61 | $149.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.05 / $85.53 / $133.76
| Professional | | $57.05 | $85.53 | $133.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.58 / $594.58 / $594.58
| Facility | | $594.58 | $594.58 | $594.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.08 / $105.88 / $139.47
| Professional | | $76.08 | $105.88 | $139.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.06 / $80.79 / $143.38
| Professional | | $56.06 | $80.79 | $143.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.26 / $359.87 / $954.94
| Facility | | $51.26 | $359.87 | $954.94 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $302.32 / $359.18 / $1,809.63
| Facility | 50 | $302.32 | $359.18 | $1,809.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.60 / $72.23 / $91.45
| Professional | | $54.60 | $72.23 | $91.45 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $99.56 / $99.56 / $1,460.07
| Professional | 50 | $99.56 | $99.56 | $1,460.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.35 / $83.14 / $133.19
| Professional | | $59.35 | $83.14 | $133.19 |