- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.20 / $155.10 / $238.55
| Facility | | $46.20 | $155.10 | $238.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.63 / $78.33 / $91.63
| Professional | | $45.63 | $78.33 | $91.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.01 / $262.52 / $8,459.92
| Facility | | $197.01 | $262.52 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.49 / $44.49 / $44.49
| Professional | | $44.49 | $44.49 | $44.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.14 / $84.17 / $189.07
| Facility | | $54.14 | $84.17 | $189.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.85 / $60.80 / $128.86
| Professional | | $26.85 | $60.80 | $128.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.94 / $77.00 / $205.19
| Professional | | $33.94 | $77.00 | $205.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.75 / $211.60 / $513.82
| Facility | | $91.75 | $211.60 | $513.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.48 / $153.26 / $238.55
| Facility | | $48.48 | $153.26 | $238.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.06 / $88.07 / $235.58
| Professional | | $45.06 | $88.07 | $235.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.42 / $85.56 / $114.08
| Professional | | $84.42 | $85.56 | $114.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.41 / $94.91 / $189.07
| Facility | | $55.41 | $94.91 | $189.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.96 / $60.99 / $128.86
| Professional | | $36.96 | $60.99 | $128.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.04 / $57.04 / $116.70
| Facility | | $57.04 | $57.04 | $116.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.04 / $57.04 / $116.70
| Professional | | $57.04 | $57.04 | $116.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.96 / $34.22 / $79.86
| Professional | | $23.96 | $34.22 | $79.86 |