- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.81 / $317.77 / $805.42
| Facility | | $49.81 | $317.77 | $805.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.16 / $49.81 / $189.51
| Professional | | $47.16 | $49.81 | $189.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.02 / $216.71 / $900.17
| Facility | | $140.02 | $216.71 | $900.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.83 / $167.12 / $395.73
| Professional | | $43.83 | $167.12 | $395.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.59 / $415.81 / $753.28
| Facility | | $103.59 | $415.81 | $753.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.89 / $178.14 / $187.61
| Professional | | $66.89 | $178.14 | $187.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.81 / $132.41 / $262.58
| Facility | | $57.81 | $132.41 | $262.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.11 / $114.07 / $288.58
| Professional | | $38.11 | $114.07 | $288.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.15 / $3,472.00 / $9,239.00
| Facility | | $75.15 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $273.51 / $273.51 / $321.77
| Professional | | $273.51 | $273.51 | $321.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.51 / $192.32 / $610.22
| Professional | | $189.51 | $192.32 | $610.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.00 / $228.00 / $228.00
| Facility | | $228.00 | $228.00 | $228.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.75 / $900.17 / $900.17
| Facility | | $329.75 | $900.17 | $900.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $87.66 / $124.65
| Professional | | $5.25 | $87.66 | $124.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $94.76 / $189.51
| Professional | | $5.25 | $94.76 | $189.51 |