- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $125.89 / $158.49
| Facility | | $74.13 | $125.89 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $52.48 / $354.81
| Professional | | $36.31 | $52.48 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $186.21 / $2,630.27
| Facility | | $60.26 | $186.21 | $2,630.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $53.70 / $112.20
| Professional | | $32.36 | $53.70 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $109.65 / $158.49
| Facility | | $89.13 | $109.65 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $51.29 / $87.10
| Professional | | $51.29 | $51.29 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $66.07 / $102.33
| Facility | | $35.48 | $66.07 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $61.66 / $77.62
| Professional | | $33.11 | $61.66 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $93.33
| Professional | | $77.62 | $77.62 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $117.49
| Professional | | $53.70 | $53.70 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $85.11 / $151.36
| Facility | | $51.29 | $85.11 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $186.21 / $2,630.27
| Facility | | $60.26 | $186.21 | $2,630.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $53.70 / $112.20
| Professional | | $32.36 | $53.70 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $53.70 / $64.57
| Facility | | $30.20 | $53.70 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $40.74 / $95.50
| Professional | | $24.55 | $40.74 | $95.50 |