- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.83 / $225.74 / $369.58
| Facility | | $82.83 | $225.74 | $369.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.43 / $82.83 / $148.80
| Professional | | $78.43 | $82.83 | $148.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.31 / $151.31 / $413.06
| Facility | | $79.31 | $151.31 | $413.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.20 / $86.96 / $211.82
| Professional | | $46.20 | $86.96 | $211.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.29 / $244.10 / $426.75
| Facility | | $153.29 | $244.10 | $426.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.73 / $81.73 / $111.23
| Professional | | $81.73 | $81.73 | $111.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.77 / $126.88 / $291.92
| Facility | | $60.77 | $126.88 | $291.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.25 / $96.11 / $169.04
| Professional | | $52.25 | $96.11 | $169.04 |
- 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
- $125.56 / $125.56 / $147.71
| Professional | | $125.56 | $125.56 | $147.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.96 / $120.53 / $323.68
| Professional | | $86.96 | $120.53 | $323.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.31 / $413.06 / $413.06
| Facility | | $151.31 | $413.06 | $413.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.74 / $52.18 / $183.54
| Professional | | $41.74 | $52.18 | $183.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.74 / $52.18 / $155.65
| Professional | | $41.74 | $52.18 | $155.65 |