- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.69 / $460.15 / $625.72
| Facility | | $88.69 | $460.15 | $625.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.75 / $85.40 / $704.02
| Professional | | $54.75 | $85.40 | $704.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.34 / $515.97 / $8,639.91
| Facility | | $397.34 | $515.97 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.40 / $85.40 / $85.40
| Professional | | $85.40 | $85.40 | $85.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.95 / $142.34 / $362.93
| Facility | | $71.95 | $142.34 | $362.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.53 / $123.57 / $163.32
| Professional | | $51.53 | $123.57 | $163.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.37 / $64.59 / $148.25
| Professional | | $50.37 | $64.59 | $148.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.50 / $310.61 / $1,539.25
| Facility | | $185.50 | $310.61 | $1,539.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.78 / $452.19 / $704.35
| Facility | | $112.78 | $452.19 | $704.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.75 / $89.78 / $704.02
| Professional | | $54.75 | $89.78 | $704.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.31 / $145.81 / $362.93
| Facility | | $73.31 | $145.81 | $362.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.32 / $123.57 / $156.94
| Professional | | $50.32 | $123.57 | $156.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.49 / $109.49 / $109.49
| Facility | | $109.49 | $109.49 | $109.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.12 / $109.49 / $109.49
| Professional | | $79.12 | $109.49 | $109.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.32 / $65.69 / $190.51
| Professional | | $48.32 | $65.69 | $190.51 |