- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $758.58 / $7,244.36
| Facility | | $54.95 | $758.58 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $51.29 / $125.89
| Professional | | $33.11 | $51.29 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $41.69 / $45.71
| Professional | | $27.54 | $41.69 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $42.66 / $43.65
| Facility | | $42.66 | $42.66 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $67.61 / $144.54
| Professional | | $32.36 | $67.61 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $524.81
| Facility | | $524.81 | $524.81 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $63.10 / $109.65
| Professional | | $39.81 | $63.10 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $93.33 / $102.33
| Professional | | $93.33 | $93.33 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $52.48 / $95.50
| Facility | | $34.67 | $52.48 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $81.28 / $109.65
| Professional | | $53.70 | $81.28 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $724.44 / $1,949.84
| Facility | | $204.17 | $724.44 | $1,949.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $50.12 / $87.10
| Professional | | $32.36 | $50.12 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $2,951.21 / $2,951.21
| Facility | | $56.23 | $2,951.21 | $2,951.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,023.29 / $1,023.29
| Professional | | $1,023.29 | $1,023.29 | $1,023.29 |