- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.38 / $172.18 / $318.36
| Facility | | $71.38 | $172.18 | $318.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.40 / $54.11 / $71.38
| Professional | | $52.40 | $54.11 | $71.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.29 / $130.47 / $355.59
| Facility | | $68.29 | $130.47 | $355.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.92 / $74.86 / $182.34
| Professional | | $44.92 | $74.86 | $182.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.82 / $202.36 / $366.60
| Facility | | $88.82 | $202.36 | $366.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.37 / $70.37 / $101.97
| Professional | | $70.37 | $70.37 | $101.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.31 / $83.80 / $170.31
| Facility | | $52.31 | $83.80 | $170.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.09 / $85.90 / $128.81
| Professional | | $44.09 | $85.90 | $128.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.82 / $107.82 / $126.85
| Professional | | $107.82 | $107.82 | $126.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.86 / $103.76 / $285.02
| Professional | | $74.86 | $103.76 | $285.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.46 / $97.55 / $97.55
| Facility | | $62.46 | $97.55 | $97.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.47 / $355.59 / $355.59
| Facility | | $130.47 | $355.59 | $355.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.69 / $44.92 / $152.96
| Professional | | $33.69 | $44.92 | $152.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.69 / $48.95 / $152.96
| Professional | | $35.69 | $48.95 | $152.96 |