- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.29 / $300.37 / $536.89
| Facility | | $76.29 | $300.37 | $536.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.29 / $93.97 / $385.60
| Professional | | $76.29 | $93.97 | $385.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.72 / $256.70 / $740.25
| Facility | | $88.72 | $256.70 | $740.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.81 / $145.81 / $798.89
| Professional | | $67.81 | $145.81 | $798.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.61 / $226.17 / $407.45
| Facility | | $106.61 | $226.17 | $407.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.46 / $203.62 / $217.77
| Facility | | $178.46 | $203.62 | $217.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.53 / $198.53 / $292.01
| Professional | | $117.53 | $198.53 | $292.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.45 / $176.00 / $6,679.00
| Facility | | $79.45 | $176.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.59 / $106.60 / $190.60
| Professional | | $40.59 | $106.60 | $190.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.91 / $209.33 / $266.27
| Professional | | $106.91 | $209.33 | $266.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.64 / $80.64 / $85.07
| Facility | | $80.64 | $80.64 | $85.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.26 / $49.26 / $50.51
| Professional | | $49.26 | $49.26 | $50.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.77 / $183.77 / $740.25
| Facility | | $183.77 | $183.77 | $740.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.47 / $151.13 / $798.89
| Professional | | $97.47 | $151.13 | $798.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.47 / $145.81 / $344.80
| Professional | | $97.47 | $145.81 | $344.80 |