- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.47 / $246.35 / $853.84
| Facility | | $76.47 | $246.35 | $853.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $168.62
| Professional | | $72.44 | $72.44 | $168.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.90 / $125.21 / $520.08
| Facility | | $80.90 | $125.21 | $520.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.79 / $96.56 / $266.70
| Professional | | $37.79 | $96.56 | $266.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.15 / $240.31 / $435.35
| Facility | | $66.15 | $240.31 | $435.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.20 / $102.92 / $108.40
| Professional | | $42.20 | $102.92 | $108.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.95 / $149.46 / $310.07
| Facility | | $71.95 | $149.46 | $310.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.46 / $125.55 / $166.75
| Professional | | $53.46 | $125.55 | $166.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $157.76 / $157.76 / $185.60
| Professional | | $157.76 | $157.76 | $185.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.49 / $121.31 / $352.56
| Professional | | $109.49 | $121.31 | $352.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.51 / $520.08 / $520.08
| Facility | | $190.51 | $520.08 | $520.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.35 / $65.69 / $138.05
| Professional | | $28.35 | $65.69 | $138.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.35 / $65.69 / $138.05
| Professional | | $28.35 | $65.69 | $138.05 |