- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.42 / $82.09 / $327.13
| Facility | | $33.42 | $82.09 | $327.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.98 / $33.42 / $61.03
| Professional | | $25.98 | $33.42 | $61.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.13 / $920.33 / $1,571.92
| Facility | | $368.13 | $920.33 | $1,571.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.40 / $47.02 / $69.56
| Professional | | $32.40 | $47.02 | $69.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.49 / $703.20 / $743.39
| Facility | | $55.49 | $703.20 | $743.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.90 / $39.11 / $41.48
| Facility | | $36.90 | $39.11 | $41.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.17 / $870.59 / $1,604.32
| Facility | | $101.17 | $870.59 | $1,604.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.77 / $46.73 / $82.73
| Professional | | $31.77 | $46.73 | $82.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.44 / $214.42 / $214.42
| Facility | | $83.44 | $214.42 | $214.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $256.51 / $256.51 / $337.43
| Professional | | $256.51 | $256.51 | $337.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.09 / $46.45 / $76.91
| Facility | | $36.09 | $46.45 | $76.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.99 / $64.05 / $90.62
| Professional | | $36.99 | $64.05 | $90.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.42 / $73.73 / $1,227.30
| Facility | | $37.42 | $73.73 | $1,227.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.25 / $47.70 / $82.77
| Professional | | $33.25 | $47.70 | $82.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.31 / $41.34 / $64.34
| Professional | | $34.31 | $41.34 | $64.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.13 / $36.99 / $52.69
| Professional | | $33.13 | $36.99 | $52.69 |