- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.84 / $236.70 / $387.43
| Facility | | $86.84 | $236.70 | $387.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.22 / $86.84 / $155.99
| Professional | | $82.22 | $86.84 | $155.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.16 / $158.62 / $433.01
| Facility | | $83.16 | $158.62 | $433.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.30 / $91.16 / $222.05
| Professional | | $48.30 | $91.16 | $222.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.49 / $255.57 / $446.80
| Facility | | $160.49 | $255.57 | $446.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.69 / $85.69 / $116.62
| Professional | | $85.69 | $85.69 | $116.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.70 / $131.99 / $303.66
| Facility | | $63.70 | $131.99 | $303.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.75 / $100.78 / $171.75
| Professional | | $54.75 | $100.78 | $171.75 |
- 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
- $131.62 / $131.62 / $154.85
| Professional | | $131.62 | $131.62 | $154.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.16 / $126.35 / $339.32
| Professional | | $91.16 | $126.35 | $339.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.62 / $433.01 / $433.01
| Facility | | $158.62 | $433.01 | $433.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.76 / $54.70 / $192.45
| Professional | | $43.76 | $54.70 | $192.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.76 / $54.70 / $173.76
| Professional | | $43.76 | $54.70 | $173.76 |