- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.36 / $225.65 / $319.95
| Facility | | $61.36 | $225.65 | $319.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.10 / $61.36 / $115.35
| Professional | | $58.10 | $61.36 | $115.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.48 / $170.71 / $466.02
| Facility | | $72.48 | $170.71 | $466.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.24 / $90.64 / $261.47
| Professional | | $39.24 | $90.64 | $261.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.90 / $222.81 / $389.53
| Facility | | $126.90 | $222.81 | $389.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.11 / $92.22 / $97.13
| Professional | | $81.11 | $92.22 | $97.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.97 / $135.83 / $248.67
| Facility | | $69.97 | $135.83 | $248.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.52 / $112.75 / $437.42
| Professional | | $49.52 | $112.75 | $437.42 |
- 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
- $141.43 / $141.43 / $166.38
| Professional | | $141.43 | $141.43 | $166.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.11 / $135.97 / $315.91
| Professional | | $98.11 | $135.97 | $315.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $123.08 / $169.06
| Facility | | $100.00 | $123.08 | $169.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.71 / $466.02 / $466.02
| Facility | | $170.71 | $466.02 | $466.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.24 / $58.87 / $350.00
| Professional | | $39.24 | $58.87 | $350.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.21 / $58.87 / $350.00
| Professional | | $41.21 | $58.87 | $350.00 |