- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $234.42 / $389.05
| Facility | | $85.11 | $234.42 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $85.11 / $407.38
| Professional | | $67.61 | $85.11 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $128.82 / $436.52
| Facility | | $83.18 | $128.82 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $91.20 / $190.55
| Professional | | $47.86 | $91.20 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $223.87 / $354.81
| Facility | | $177.83 | $223.87 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $117.49
| Professional | | $85.11 | $85.11 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $141.25 / $346.74
| Facility | | $70.79 | $141.25 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $112.20 / $169.82
| Professional | | $64.57 | $112.20 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $3,630.78 / $9,772.37
| Facility | | $60.26 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $154.88
| Professional | | $131.83 | $131.83 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $91.20 / $275.42
| Professional | | $91.20 | $91.20 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $128.82 / $436.52
| Facility | | $83.18 | $128.82 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $91.20 / $190.55
| Professional | | $47.86 | $91.20 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $91.20 / $147.91
| Facility | | $52.48 | $91.20 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $75.86 / $218.78
| Professional | | $45.71 | $75.86 | $218.78 |