- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.51 / $74.20 / $94.22
| Facility | | $43.51 | $74.20 | $94.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.51 / $68.02 / $91.90
| Professional | | $43.51 | $68.02 | $91.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.72 / $72.15 / $113.16
| Professional | | $43.72 | $72.15 | $113.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.78 / $40.78 / $40.78
| Facility | | $40.78 | $40.78 | $40.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.03 / $58.03 / $58.03
| Facility | | $58.03 | $58.03 | $58.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.14 / $82.10 / $136.46
| Professional | | $51.14 | $82.10 | $136.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $226.86
| Facility | | $55.00 | $55.00 | $226.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $339.04 / $553.87 / $652.95
| Professional | | $339.04 | $553.87 | $652.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.87 / $78.79 / $141.07
| Facility | | $45.87 | $78.79 | $141.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.71 / $85.43 / $131.32
| Professional | | $59.71 | $85.43 | $131.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.70 / $113.70 / $113.70
| Professional | | $113.70 | $113.70 | $113.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.89 / $79.22 / $144.66
| Facility | | $45.89 | $79.22 | $144.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.99 / $84.30 / $141.29
| Professional | | $51.99 | $84.30 | $141.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.33 / $74.08 / $123.16
| Professional | | $52.33 | $74.08 | $123.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.04 / $72.48 / $101.26
| Professional | | $64.04 | $72.48 | $101.26 |