- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.21 / $198.66 / $318.95
| Facility | | $58.21 | $198.66 | $318.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.32 / $58.21 / $112.99
| Professional | | $45.32 | $58.21 | $112.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.74 / $86.09 / $229.72
| Facility | | $55.74 | $86.09 | $229.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.02 / $77.04 / $290.95
| Professional | | $44.02 | $77.04 | $290.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.72 / $171.20 / $299.30
| Facility | | $119.72 | $171.20 | $299.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.17 / $78.17 / $78.17
| Professional | | $78.17 | $78.17 | $78.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.04 / $92.20 / $166.92
| Facility | | $49.04 | $92.20 | $166.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.12 / $70.59 / $191.26
| Professional | | $44.12 | $70.59 | $191.26 |
- 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
- $105.96 / $105.96 / $124.66
| Professional | | $105.96 | $105.96 | $124.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.37 / $73.37 / $235.52
| Professional | | $73.37 | $73.37 | $235.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.92 / $130.61 / $217.95
| Facility | | $78.92 | $130.61 | $217.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.66 / $348.51 / $348.51
| Facility | | $127.66 | $348.51 | $348.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.02 / $50.02 / $366.85
| Professional | | $44.02 | $50.02 | $366.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.02 / $50.02 / $131.04
| Professional | | $44.02 | $50.02 | $131.04 |