- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $338.84 / $537.03
| Facility | | $75.86 | $338.84 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $97.72 / $398.11
| Professional | | $72.44 | $97.72 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $263.03 / $741.31
| Facility | | $85.11 | $263.03 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $123.03 / $346.74
| Professional | | $38.02 | $123.03 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $190.55 / $275.42
| Facility | | $151.36 | $190.55 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $213.80 / $239.88
| Facility | | $177.83 | $213.80 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $173.78 / $281.84
| Professional | | $104.71 | $173.78 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $138.04 / $7,079.46
| Facility | | $74.13 | $138.04 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $107.15 / $190.55
| Professional | | $42.66 | $107.15 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $186.21 / $288.40
| Professional | | $112.20 | $186.21 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $85.11 / $85.11
| Facility | | $81.28 | $85.11 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $263.03 / $741.31
| Facility | | $85.11 | $263.03 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $123.03 / $346.74
| Professional | | $38.02 | $123.03 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $58.88 / $87.10
| Facility | | $28.18 | $58.88 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $144.54 / $302.00
| Professional | | $97.72 | $144.54 | $302.00 |