- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.16 / $164.69 / $326.81
| Facility | | $64.16 | $164.69 | $326.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.75 / $64.16 / $115.25
| Professional | | $60.75 | $64.16 | $115.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.44 / $117.21 / $321.95
| Facility | | $61.44 | $117.21 | $321.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.42 / $67.36 / $164.08
| Professional | | $40.42 | $67.36 | $164.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.82 / $189.22 / $330.80
| Facility | | $118.82 | $189.22 | $330.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.32 / $63.32 / $86.16
| Professional | | $63.32 | $63.32 | $86.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.07 / $101.61 / $230.13
| Facility | | $47.07 | $101.61 | $230.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.67 / $77.23 / $112.09
| Professional | | $39.67 | $77.23 | $112.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.08 / $97.08 / $114.21
| Professional | | $97.08 | $97.08 | $114.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.36 / $93.36 / $250.71
| Professional | | $67.36 | $93.36 | $250.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.21 / $321.95 / $321.95
| Facility | | $117.21 | $321.95 | $321.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.31 / $40.42 / $142.19
| Professional | | $30.31 | $40.42 | $142.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $52.03 / $142.19
| Professional | | $32.33 | $52.03 | $142.19 |