- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $114.82 / $151.36
| Facility | | $70.79 | $114.82 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $38.90 / $218.78
| Professional | | $32.36 | $38.90 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $162.18 / $416.87
| Facility | | $56.23 | $162.18 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $51.29 / $151.36
| Professional | | $30.90 | $51.29 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $102.33 / $147.91
| Facility | | $81.28 | $102.33 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $95.50 / $95.50
| Professional | | $50.12 | $95.50 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $70.79 / $109.65
| Facility | | $33.11 | $70.79 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $54.95 / $134.90
| Professional | | $30.90 | $54.95 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $87.10
| Professional | | $74.13 | $74.13 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $51.29 / $109.65
| Professional | | $51.29 | $51.29 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $933.25 / $1,071.52
| Facility | | $933.25 | $933.25 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $162.18 / $416.87
| Facility | | $56.23 | $162.18 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $51.29 / $169.82
| Professional | | $30.90 | $51.29 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $51.29 / $61.66
| Facility | | $30.90 | $51.29 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $51.29 / $97.72
| Professional | | $30.90 | $51.29 | $97.72 |