- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.36 / $261.66 / $815.43
| Facility | | $76.36 | $261.66 | $815.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.81 / $76.36 / $105.07
| Professional | | $72.81 | $76.36 | $105.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.65 / $166.20 / $453.72
| Facility | | $73.65 | $166.20 | $453.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.31 / $95.52 / $232.67
| Professional | | $57.31 | $95.52 | $232.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.49 / $226.90 / $396.68
| Facility | | $142.49 | $226.90 | $396.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.79 / $89.79 / $102.54
| Professional | | $89.79 | $89.79 | $102.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.79 / $130.38 / $311.72
| Facility | | $64.79 | $130.38 | $311.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.63 / $109.86 / $147.34
| Professional | | $50.63 | $109.86 | $147.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $137.69 / $137.69 / $161.97
| Professional | | $137.69 | $137.69 | $161.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.52 / $132.38 / $312.27
| Professional | | $95.52 | $132.38 | $312.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.20 / $453.72 / $453.72
| Facility | | $166.20 | $453.72 | $453.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.85 / $57.31 / $182.07
| Professional | | $38.85 | $57.31 | $182.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.98 / $55.40 / $65.62
| Facility | | $42.98 | $55.40 | $65.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.21 / $66.11 / $138.74
| Professional | | $38.21 | $66.11 | $138.74 |