- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.70 / $168.14 / $318.55
| Facility | | $37.70 | $168.14 | $318.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.70 / $37.70 / $75.47
| Professional | | $35.70 | $37.70 | $75.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.43 / $111.69 / $304.89
| Facility | | $47.43 | $111.69 | $304.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.96 / $56.61 / $156.35
| Professional | | $26.96 | $56.61 | $156.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.16 / $145.80 / $254.90
| Facility | | $76.16 | $145.80 | $254.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.63 / $60.34 / $63.55
| Professional | | $50.63 | $60.34 | $63.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.19 / $79.81 / $152.79
| Facility | | $42.19 | $79.81 | $152.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.43 / $72.31 / $97.58
| Professional | | $30.43 | $72.31 | $97.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.12 / $3,472.00 / $9,239.00
| Facility | | $57.12 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.41 / $92.41 / $108.72
| Professional | | $92.41 | $92.41 | $108.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.19 / $88.97 / $206.69
| Professional | | $64.19 | $88.97 | $206.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.41 / $45.41 / $45.41
| Facility | | $45.41 | $45.41 | $45.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.69 / $304.89 / $304.89
| Facility | | $111.69 | $304.89 | $304.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.04 / $38.51 / $94.34
| Professional | | $19.04 | $38.51 | $94.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.26 / $38.51 / $254.55
| Professional | | $19.26 | $38.51 | $254.55 |