- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.41 / $342.06 / $530.70
| Facility | | $87.41 | $342.06 | $530.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.04 / $93.65 / $192.30
| Professional | | $83.04 | $93.65 | $192.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.26 / $142.79 / $390.97
| Facility | | $92.26 | $142.79 | $390.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.92 / $125.06 / $495.19
| Professional | | $74.92 | $125.06 | $495.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $179.25 / $273.52 / $531.57
| Facility | | $179.25 | $273.52 | $531.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.87 / $124.87 / $124.87
| Professional | | $124.87 | $124.87 | $124.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.17 / $152.60 / $284.10
| Facility | | $81.17 | $152.60 | $284.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.05 / $131.80 / $325.68
| Professional | | $63.05 | $131.80 | $325.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $180.16 / $180.16 / $211.95
| Professional | | $180.16 | $180.16 | $211.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.87 / $124.87 / $386.71
| Professional | | $124.87 | $124.87 | $386.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.46 / $540.46 / $612.86
| Facility | | $517.46 | $540.46 | $612.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.27 / $883.04 / $883.04
| Facility | | $217.27 | $883.04 | $883.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.92 / $74.92 / $624.35
| Professional | | $74.92 | $74.92 | $624.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.92 / $74.92 / $218.52
| Professional | | $74.92 | $74.92 | $218.52 |