- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.87 / $185.38 / $318.95
| Facility | | $46.87 | $185.38 | $318.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.38 / $50.58 / $101.16
| Professional | | $44.38 | $50.58 | $101.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.54 / $75.13 / $205.68
| Facility | | $48.54 | $75.13 | $205.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.40 / $67.13 / $260.50
| Professional | | $39.40 | $67.13 | $260.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.26 / $149.09 / $260.64
| Facility | | $104.26 | $149.09 | $260.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.94 / $62.94 / $62.94
| Professional | | $62.94 | $62.94 | $62.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.70 / $80.28 / $149.44
| Facility | | $42.70 | $80.28 | $149.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.44 / $63.11 / $171.41
| Professional | | $39.44 | $63.11 | $171.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.75 / $94.75 / $111.47
| Professional | | $94.75 | $94.75 | $111.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.69 / $65.69 / $203.44
| Professional | | $65.69 | $65.69 | $203.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.28 / $145.02 / $167.40
| Facility | | $68.28 | $145.02 | $167.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.30 / $312.02 / $312.02
| Facility | | $114.30 | $312.02 | $312.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.40 / $40.28 / $328.45
| Professional | | $39.40 | $40.28 | $328.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.40 / $40.28 / $117.33
| Professional | | $39.40 | $40.28 | $117.33 |