- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.24 / $131.96 / $240.60
| Facility | | $47.24 | $131.96 | $240.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.17 / $47.24 / $64.78
| Professional | | $40.17 | $47.24 | $64.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.23 / $69.86 / $166.13
| Facility | | $45.23 | $69.86 | $166.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.75 / $52.07 / $196.66
| Professional | | $29.75 | $52.07 | $196.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.38 / $139.25 / $243.45
| Facility | | $97.38 | $139.25 | $243.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.43 / $63.43 / $63.43
| Professional | | $63.43 | $63.43 | $63.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.68 / $67.68 / $112.81
| Facility | | $38.68 | $67.68 | $112.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.69 / $49.59 / $129.01
| Professional | | $29.69 | $49.59 | $129.01 |
- 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
- $71.41 / $71.41 / $84.02
| Professional | | $71.41 | $71.41 | $84.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.59 / $49.59 / $161.26
| Professional | | $49.59 | $49.59 | $161.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.29 / $235.55 / $235.55
| Facility | | $86.29 | $235.55 | $235.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.75 / $40.59 / $247.95
| Professional | | $29.75 | $40.59 | $247.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.63 / $49.59 / $59.51
| Facility | | $44.63 | $49.59 | $59.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.75 / $40.59 / $94.52
| Professional | | $29.75 | $40.59 | $94.52 |