- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $186.21 / $346.74
| Facility | | $38.02 | $186.21 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $52.48 / $144.54
| Professional | | $28.18 | $52.48 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $199.53 / $2,818.38
| Facility | | $56.23 | $199.53 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $52.48 / $131.83
| Professional | | $30.90 | $52.48 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $75.86
| Facility | | $33.11 | $33.11 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $57.54 / $95.50
| Professional | | $33.11 | $57.54 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $57.54 / $109.65
| Professional | | $31.62 | $57.54 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $83.18 / $7,079.46
| Facility | | $31.62 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $66.07 / $87.10
| Professional | | $52.48 | $66.07 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $57.54 / $120.23
| Professional | | $30.90 | $57.54 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.20 / $239.88 / $371.54
| Facility | | $112.20 | $239.88 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $64.57 / $74.13
| Professional | | $38.02 | $64.57 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $144.54 / $2,818.38
| Facility | | $56.23 | $144.54 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $52.48 / $131.83
| Professional | | $30.90 | $52.48 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,819.70 / $2,818.38
| Facility | | $338.84 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $54.95 / $114.82
| Professional | | $30.90 | $54.95 | $114.82 |