- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.37 / $271.18 / $405.12
| Facility | | $77.37 | $271.18 | $405.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.76 / $69.04 / $81.19
| Professional | | $47.76 | $69.04 | $81.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.80 / $475.01 / $8,639.91
| Facility | | $365.80 | $475.01 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.51 / $74.51 / $74.51
| Professional | | $74.51 | $74.51 | $74.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.78 / $124.18 / $279.41
| Facility | | $62.78 | $124.18 | $279.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.63 / $109.86 / $142.63
| Professional | | $50.63 | $109.86 | $142.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.94 / $56.36 / $129.33
| Professional | | $43.94 | $56.36 | $129.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.55 / $288.14 / $368.22
| Facility | | $151.55 | $288.14 | $368.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.37 / $268.00 / $426.31
| Facility | | $77.37 | $268.00 | $426.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.86 / $75.45 / $394.50
| Professional | | $66.86 | $75.45 | $394.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.95 / $138.90 / $317.29
| Facility | | $63.95 | $138.90 | $317.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.63 / $107.88 / $137.94
| Professional | | $50.63 | $107.88 | $137.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.52 / $95.52 / $98.50
| Facility | | $95.52 | $95.52 | $98.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.06 / $95.52 / $98.50
| Professional | | $84.06 | $95.52 | $98.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.21 / $47.76 / $55.40
| Facility | | $38.21 | $47.76 | $55.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.98 / $57.31 / $166.20
| Professional | | $42.98 | $57.31 | $166.20 |