- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.46 / $139.90 / $155.63
| Facility | | $58.46 | $139.90 | $155.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.37 / $58.46 / $78.65
| Professional | | $41.37 | $58.46 | $78.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.69 / $156.38 / $242.58
| Facility | | $59.69 | $156.38 | $242.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.64 / $51.07 / $202.52
| Professional | | $30.64 | $51.07 | $202.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.34 / $116.32 / $203.35
| Facility | | $81.34 | $116.32 | $203.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.45 / $26.45 / $50.56
| Professional | | $26.45 | $26.45 | $50.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.20 / $70.77 / $116.20
| Facility | | $33.20 | $70.77 | $116.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.70 / $49.12 / $133.52
| Professional | | $30.70 | $49.12 | $133.52 |
- 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
- $73.75 / $73.75 / $86.77
| Professional | | $73.75 | $73.75 | $86.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.07 / $51.07 / $158.16
| Professional | | $51.07 | $51.07 | $158.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.86 / $266.86 / $266.86
| Facility | | $266.86 | $266.86 | $266.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.86 / $242.58 / $242.58
| Facility | | $88.86 | $242.58 | $242.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.64 / $30.64 / $263.00
| Professional | | $30.64 | $30.64 | $263.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.45 / $30.64 / $89.37
| Professional | | $21.45 | $30.64 | $89.37 |