- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.92 / $303.25 / $693.76
| Facility | | $70.92 | $303.25 | $693.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.69 / $70.92 / $432.16
| Professional | | $44.69 | $70.92 | $432.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.64 / $162.11 / $393.70
| Facility | | $73.64 | $162.11 | $393.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.19 / $52.93 / $136.08
| Professional | | $33.19 | $52.93 | $136.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.30 / $130.04 / $852.43
| Facility | | $59.30 | $130.04 | $852.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.66 / $59.51 / $110.04
| Professional | | $41.66 | $59.51 | $110.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.41 / $86.97 / $225.00
| Facility | | $46.41 | $86.97 | $225.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.74 / $79.93 / $112.96
| Professional | | $39.74 | $79.93 | $112.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.20 / $67.20 / $107.54
| Professional | | $67.20 | $67.20 | $107.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.77 / $67.20 / $146.52
| Professional | | $53.77 | $67.20 | $146.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.47 / $319.25 / $319.25
| Facility | | $148.47 | $319.25 | $319.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.60 / $33.60 / $33.60
| Professional | | $33.60 | $33.60 | $33.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.00 / $77.77 / $192.80
| Facility | | $46.00 | $77.77 | $192.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.34 / $67.20 / $122.28
| Professional | | $40.34 | $67.20 | $122.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.90 / $235.90 / $235.90
| Professional | | $235.90 | $235.90 | $235.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.77 / $67.20 / $94.09
| Professional | | $53.77 | $67.20 | $94.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.23 / $39.43 / $129.11
| Professional | | $28.23 | $39.43 | $129.11 |