- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.67 / $75.27 / $796.68
| Facility | | $55.67 | $75.27 | $796.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.67 / $71.04 / $120.40
| Professional | | $55.67 | $71.04 | $120.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.43 / $199.60 / $340.79
| Facility | | $69.43 | $199.60 | $340.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.51 / $59.75 / $93.26
| Professional | | $24.51 | $59.75 | $93.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.78 / $77.78 / $84.06
| Facility | | $77.78 | $77.78 | $84.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.23 / $187.91 / $323.24
| Facility | | $67.23 | $187.91 | $323.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.07 / $82.53 / $156.36
| Professional | | $61.07 | $82.53 | $156.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.07 / $446.69 / $446.69
| Facility | | $184.07 | $446.69 | $446.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $548.32 / $553.87 / $702.45
| Professional | | $548.32 | $553.87 | $702.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.59 / $93.65 / $172.27
| Facility | | $69.59 | $93.65 | $172.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.03 / $122.27 / $193.40
| Professional | | $78.03 | $122.27 | $193.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.90 / $152.50 / $230.10
| Professional | | $117.90 | $152.50 | $230.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.34 / $95.61 / $190.38
| Facility | | $69.34 | $95.61 | $190.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.95 / $86.28 / $184.15
| Professional | | $60.95 | $86.28 | $184.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.77 / $83.11 / $131.33
| Professional | | $64.77 | $83.11 | $131.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.56 / $78.03 / $110.74
| Professional | | $69.56 | $78.03 | $110.74 |