- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.97 / $290.58 / $471.17
| Facility | | $85.97 | $290.58 | $471.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.65 / $85.97 / $438.36
| Professional | | $57.65 | $85.97 | $438.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.67 / $421.60 / $8,639.91
| Facility | | $324.67 | $421.60 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.79 / $82.79 / $82.79
| Professional | | $82.79 | $82.79 | $82.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.77 / $137.90 / $327.45
| Facility | | $69.77 | $137.90 | $327.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.38 / $112.98 / $158.66
| Professional | | $40.38 | $112.98 | $158.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.82 / $62.62 / $143.71
| Professional | | $48.82 | $62.62 | $143.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.82 / $282.39 / $349.58
| Facility | | $253.82 | $282.39 | $349.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.24 / $287.60 / $471.17
| Facility | | $99.24 | $287.60 | $471.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.87 / $87.03 / $438.36
| Professional | | $66.87 | $87.03 | $438.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.98 / $137.97 / $352.06
| Facility | | $68.98 | $137.97 | $352.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.38 / $112.98 / $152.29
| Professional | | $40.38 | $112.98 | $152.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.14 / $106.14 / $106.14
| Facility | | $106.14 | $106.14 | $106.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.65 / $106.14 / $106.14
| Professional | | $91.65 | $106.14 | $106.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.58 / $63.84 / $182.27
| Professional | | $44.58 | $63.84 | $182.27 |