- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $156.25 / $173.84
| Facility | | $72.44 | $156.25 | $173.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.04 / $88.08 / $91.63
| Professional | | $57.04 | $88.08 | $91.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.66 / $158.65 / $212.24
| Facility | | $66.66 | $158.65 | $212.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.22 / $57.04 / $226.20
| Professional | | $34.22 | $57.04 | $226.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.51 / $129.43 / $226.28
| Facility | | $90.51 | $129.43 | $226.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.10 / $36.10 / $36.10
| Professional | | $36.10 | $36.10 | $36.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.08 / $87.65 / $129.78
| Facility | | $37.08 | $87.65 | $129.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $54.65 / $148.85
| Professional | | $34.15 | $54.65 | $148.85 |
- 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
- $82.14 / $82.14 / $96.64
| Professional | | $82.14 | $82.14 | $96.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.04 / $57.04 / $176.65
| Professional | | $57.04 | $57.04 | $176.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.25 / $190.81 / $444.24
| Facility | | $90.25 | $190.81 | $444.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.25 / $270.94 / $270.94
| Facility | | $99.25 | $270.94 | $270.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.22 / $34.22 / $285.20
| Professional | | $34.22 | $34.22 | $285.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.22 / $34.22 / $101.88
| Professional | | $34.22 | $34.22 | $101.88 |