- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.17 / $215.56 / $594.88
| Facility | | $63.17 | $215.56 | $594.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.46 / $63.18 / $187.64
| Professional | | $59.46 | $63.18 | $187.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.80 / $456.80 / $8,459.92
| Facility | | $342.80 | $456.80 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.98 / $57.98 / $57.98
| Professional | | $57.98 | $57.98 | $57.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.53 / $109.80 / $246.66
| Facility | | $70.53 | $109.80 | $246.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.17 / $79.56 / $168.11
| Professional | | $39.17 | $79.56 | $168.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.23 / $100.35 / $141.22
| Professional | | $44.23 | $100.35 | $141.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.20 / $149.69 / $437.44
| Facility | | $53.20 | $149.69 | $437.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.18 / $210.74 / $581.83
| Facility | | $63.18 | $210.74 | $581.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.72 / $102.07 / $306.98
| Professional | | $58.72 | $102.07 | $306.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.01 / $111.50 / $148.66
| Professional | | $110.01 | $111.50 | $148.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.41 / $123.65 / $246.66
| Facility | | $72.41 | $123.65 | $246.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.06 / $83.90 / $168.11
| Professional | | $43.06 | $83.90 | $168.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.33 / $74.33 / $110.00
| Facility | | $74.33 | $74.33 | $110.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.33 / $74.33 / $110.00
| Professional | | $74.33 | $74.33 | $110.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.22 / $44.60 / $119.10
| Professional | | $31.22 | $44.60 | $119.10 |