- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.73 / $268.58 / $396.20
| Facility | | $76.73 | $268.58 | $396.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.84 / $77.06 / $609.17
| Professional | | $74.84 | $77.06 | $609.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.60 / $576.46 / $8,459.92
| Facility | | $432.60 | $576.46 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.90 / $73.90 / $73.90
| Professional | | $73.90 | $73.90 | $73.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.91 / $139.79 / $314.02
| Facility | | $89.91 | $139.79 | $314.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.90 / $101.34 / $214.03
| Professional | | $49.90 | $101.34 | $214.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.37 / $127.90 / $180.01
| Professional | | $56.37 | $127.90 | $180.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.27 / $131.07 / $168.54
| Facility | | $84.27 | $131.07 | $168.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.53 / $268.58 / $396.20
| Facility | | $80.53 | $268.58 | $396.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.06 / $82.20 / $391.28
| Professional | | $71.06 | $82.20 | $391.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.22 / $142.11 / $189.48
| Professional | | $140.22 | $142.11 | $189.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.25 / $157.61 / $314.02
| Facility | | $92.25 | $157.61 | $314.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.26 / $107.12 / $214.03
| Professional | | $54.26 | $107.12 | $214.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.74 / $94.74 / $138.82
| Facility | | $94.74 | $94.74 | $138.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.74 / $94.74 / $138.82
| Professional | | $94.74 | $94.74 | $138.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.79 / $56.84 / $150.30
| Professional | | $39.79 | $56.84 | $150.30 |