- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.46 / $259.52 / $445.45
| Facility | | $87.46 | $259.52 | $445.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.73 / $82.81 / $119.93
| Professional | | $76.73 | $82.81 | $119.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.75 / $129.35 / $317.38
| Facility | | $83.75 | $129.35 | $317.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.84 / $99.48 / $375.70
| Professional | | $56.84 | $99.48 | $375.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.44 / $258.02 / $451.10
| Facility | | $180.44 | $258.02 | $451.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.06 / $89.06 / $117.44
| Professional | | $89.06 | $89.06 | $117.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.68 / $129.32 / $215.53
| Facility | | $73.68 | $129.32 | $215.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.93 / $91.76 / $247.19
| Professional | | $56.93 | $91.76 | $247.19 |
- 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
- $136.76 / $136.76 / $160.90
| Professional | | $136.76 | $136.76 | $160.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.74 / $94.74 / $308.07
| Professional | | $94.74 | $94.74 | $308.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.10 / $201.00 / $230.09
| Facility | | $108.10 | $201.00 | $230.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.85 / $450.02 / $450.02
| Facility | | $164.85 | $450.02 | $450.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.84 / $75.15 / $473.70
| Professional | | $56.84 | $75.15 | $473.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.84 / $75.15 / $180.58
| Professional | | $56.84 | $75.15 | $180.58 |