- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $239.88 / $812.83
| Facility | | $63.10 | $239.88 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $83.18 / $131.83
| Professional | | $30.90 | $83.18 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $125.89 / $524.81
| Facility | | $81.28 | $125.89 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $95.50 / $229.09
| Professional | | $38.02 | $95.50 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $218.78 / $316.23
| Facility | | $173.78 | $218.78 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $102.33 / $107.15
| Professional | | $42.66 | $102.33 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $151.36 / $309.03
| Facility | | $75.86 | $151.36 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $134.90 / $165.96
| Professional | | $61.66 | $134.90 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $3,630.78 / $9,772.37
| Facility | | $46.77 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $158.49 / $186.21
| Professional | | $158.49 | $158.49 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $109.65 / $234.42
| Professional | | $109.65 | $109.65 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $125.89 / $524.81
| Facility | | $81.28 | $125.89 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $95.50 / $229.09
| Professional | | $38.02 | $95.50 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $109.65 / $131.83
| Facility | | $48.98 | $109.65 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $66.07 / $151.36
| Professional | | $28.18 | $66.07 | $151.36 |