- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.40 / $311.58 / $477.36
| Facility | | $88.40 | $311.58 | $477.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.76 / $89.49 / $701.71
| Professional | | $80.76 | $89.49 | $701.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $514.22 / $685.22 / $8,459.92
| Facility | | $514.22 | $685.22 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.12 / $85.12 / $85.12
| Professional | | $85.12 | $85.12 | $85.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.56 / $161.08 / $361.84
| Facility | | $103.56 | $161.08 | $361.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.39 / $116.72 / $246.61
| Professional | | $57.39 | $116.72 | $246.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.93 / $147.33 / $207.35
| Professional | | $64.93 | $147.33 | $207.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.09 / $284.54 / $442.01
| Facility | | $239.09 | $284.54 | $442.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.76 / $309.82 / $456.40
| Facility | | $92.76 | $309.82 | $456.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.76 / $97.71 / $450.71
| Professional | | $80.76 | $97.71 | $450.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.51 / $163.69 / $218.26
| Professional | | $161.51 | $163.69 | $218.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.10 / $181.55 / $361.84
| Facility | | $106.10 | $181.55 | $361.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.52 / $126.02 / $246.61
| Professional | | $64.52 | $126.02 | $246.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.13 / $109.13 / $165.00
| Facility | | $109.13 | $109.13 | $165.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.13 / $109.13 / $165.00
| Professional | | $109.13 | $109.13 | $165.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.83 / $65.48 / $163.69
| Professional | | $45.83 | $65.48 | $163.69 |