- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.86 / $160.27 / $318.07
| Facility | | $49.86 | $160.27 | $318.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.20 / $49.86 / $104.56
| Professional | | $47.20 | $49.86 | $104.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.63 / $123.94 / $338.34
| Facility | | $52.63 | $123.94 | $338.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.00 / $71.23 / $162.44
| Professional | | $42.00 | $71.23 | $162.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.85 / $162.19 / $283.55
| Facility | | $101.85 | $162.19 | $283.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.95 / $66.95 / $70.52
| Professional | | $66.95 | $66.95 | $70.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.67 / $87.04 / $178.81
| Facility | | $49.67 | $87.04 | $178.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.11 / $57.85 / $108.41
| Professional | | $38.11 | $57.85 | $108.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.20 / $3,472.00 / $9,239.00
| Facility | | $75.20 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.68 / $102.68 / $120.80
| Professional | | $102.68 | $102.68 | $120.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.23 / $98.72 / $229.36
| Professional | | $71.23 | $98.72 | $229.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.31 / $112.31 / $112.31
| Facility | | $112.31 | $112.31 | $112.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.94 / $338.34 / $338.34
| Facility | | $123.94 | $338.34 | $338.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.49 / $42.74 / $110.48
| Professional | | $28.49 | $42.74 | $110.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.92 / $42.74 / $110.48
| Professional | | $29.92 | $42.74 | $110.48 |