- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.58 / $150.28 / $216.83
| Facility | | $41.58 | $150.28 | $216.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.36 / $43.45 / $77.50
| Professional | | $39.36 | $43.45 | $77.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.28 / $74.72 / $204.58
| Facility | | $48.28 | $74.72 | $204.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $65.34 / $259.11
| Professional | | $35.72 | $65.34 | $259.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.68 / $148.26 / $259.20
| Facility | | $103.68 | $148.26 | $259.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.84 / $55.84 / $55.84
| Professional | | $55.84 | $55.84 | $55.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.47 / $79.84 / $148.65
| Facility | | $42.47 | $79.84 | $148.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $62.79 / $170.51
| Professional | | $35.09 | $62.79 | $170.51 |
- 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
- $94.29 / $94.29 / $110.93
| Professional | | $94.29 | $94.29 | $110.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.34 / $65.34 / $202.35
| Professional | | $65.34 | $65.34 | $202.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.69 / $310.37 / $310.37
| Facility | | $113.69 | $310.37 | $310.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $39.20 / $326.70
| Professional | | $35.72 | $39.20 | $326.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.20 / $39.20 / $39.20
| Facility | | $39.20 | $39.20 | $39.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $39.20 / $116.70
| Professional | | $35.72 | $39.20 | $116.70 |