- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.33 / $187.88 / $323.47
| Facility | | $61.33 | $187.88 | $323.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.07 / $61.33 / $128.63
| Professional | | $58.07 | $61.33 | $128.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.42 / $197.37 / $504.17
| Facility | | $78.42 | $197.37 | $504.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.97 / $103.44 / $221.64
| Professional | | $53.97 | $103.44 | $221.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.55 / $241.66 / $422.48
| Facility | | $127.55 | $241.66 | $422.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.36 / $99.77 / $105.08
| Professional | | $82.36 | $99.77 | $105.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.77 / $128.27 / $241.47
| Facility | | $69.77 | $128.27 | $241.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.97 / $71.18 / $161.59
| Professional | | $46.97 | $71.18 | $161.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.49 / $3,472.00 / $9,239.00
| Facility | | $59.49 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $153.10 / $153.10 / $180.11
| Professional | | $153.10 | $153.10 | $180.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.14 / $147.11 / $341.77
| Professional | | $106.14 | $147.11 | $341.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.37 / $504.17 / $504.17
| Facility | | $197.37 | $504.17 | $504.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.46 / $63.68 / $135.91
| Professional | | $42.46 | $63.68 | $135.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.18 / $63.68 / $135.91
| Professional | | $43.18 | $63.68 | $135.91 |