- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.69 / $264.27 / $311.64
| Facility | | $129.69 | $264.27 | $311.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.92 / $129.69 / $140.43
| Professional | | $84.92 | $129.69 | $140.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.52 / $313.12 / $803.30
| Facility | | $119.52 | $313.12 | $803.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.36 / $102.26 / $405.53
| Professional | | $61.36 | $102.26 | $405.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.68 / $232.63 / $406.70
| Facility | | $162.68 | $232.63 | $406.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.58 / $56.58 / $56.58
| Professional | | $56.58 | $56.58 | $56.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.47 / $164.10 / $232.65
| Facility | | $66.47 | $164.10 | $232.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.40 / $107.71 / $266.13
| Professional | | $61.40 | $107.71 | $266.13 |
- 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
- $147.49 / $147.49 / $173.52
| Professional | | $147.49 | $147.49 | $173.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.26 / $102.26 / $316.69
| Professional | | $102.26 | $102.26 | $316.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.80 / $105.80 / $125.00
| Facility | | $105.80 | $105.80 | $125.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.93 / $1,569.67 / $1,569.67
| Facility | | $177.93 | $1,569.67 | $1,569.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.36 / $61.36 / $511.30
| Professional | | $61.36 | $61.36 | $511.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.36 / $61.36 / $178.96
| Professional | | $61.36 | $61.36 | $178.96 |