- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.03 / $198.61 / $337.92
| Facility | | $47.03 | $198.61 | $337.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.63 / $87.35 / $270.89
| Professional | | $37.63 | $87.35 | $270.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.93 / $63.09 / $72.09
| Professional | | $34.93 | $63.09 | $72.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.75 / $546.83 / $1,057.75
| Facility | | $415.75 | $546.83 | $1,057.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.50 / $80.62 / $157.31
| Professional | | $39.50 | $80.62 | $157.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.12 / $78.12 / $78.12
| Facility | | $78.12 | $78.12 | $78.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.33 / $143.93 / $235.17
| Professional | | $78.33 | $143.93 | $235.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.58 / $129.19 / $272.08
| Facility | | $49.58 | $129.19 | $272.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.07 / $166.35 / $329.38
| Professional | | $98.07 | $166.35 | $329.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.93 / $124.51 / $224.58
| Facility | | $85.93 | $124.51 | $224.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.97 / $147.79 / $218.56
| Professional | | $90.97 | $147.79 | $218.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.47 / $88.00 / $167.98
| Professional | | $42.47 | $88.00 | $167.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,056.00 / $1,527.00 / $4,317.00
| Facility | | $1,056.00 | $1,527.00 | $4,317.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.07 / $162.19 / $211.23
| Professional | | $98.07 | $162.19 | $211.23 |