- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.25 / $164.43 / $341.03
| Facility | | $52.25 | $164.43 | $341.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.53 / $52.18 / $52.83
| Professional | | $50.53 | $52.18 | $52.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.90 / $125.61 / $342.90
| Facility | | $53.90 | $125.61 | $342.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.31 / $72.19 / $175.84
| Professional | | $43.31 | $72.19 | $175.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.19 / $109.22 / $193.61
| Facility | | $72.19 | $109.22 | $193.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.86 / $67.86 / $71.47
| Professional | | $67.86 | $67.86 | $71.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.45 / $50.44 / $164.22
| Facility | | $47.45 | $50.44 | $164.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.65 / $83.01 / $109.96
| Professional | | $34.65 | $83.01 | $109.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.80 / $3,472.00 / $9,239.00
| Facility | | $75.80 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.08 / $104.08 / $122.45
| Professional | | $104.08 | $104.08 | $122.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.19 / $100.06 / $232.45
| Professional | | $72.19 | $100.06 | $232.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.34 / $90.56 / $323.44
| Facility | | $68.34 | $90.56 | $323.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.61 / $342.90 / $342.90
| Facility | | $125.61 | $342.90 | $342.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.88 / $43.31 / $126.33
| Professional | | $28.88 | $43.31 | $126.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.90 / $70.03 / $108.29
| Professional | | $53.90 | $70.03 | $108.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.88 / $43.31 / $90.24
| Professional | | $28.88 | $43.31 | $90.24 |