- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $91.20 / $416.87
| Facility | | $61.66 | $91.20 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $72.44 / $91.20
| Professional | | $58.88 | $72.44 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $41.69 / $56.23
| Professional | | $33.11 | $41.69 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $218.78 / $954.99
| Facility | | $6.03 | $218.78 | $954.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $97.72 / $309.03
| Professional | | $42.66 | $97.72 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $194.98 / $288.40
| Facility | | $154.88 | $194.98 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $102.33 / $186.21
| Professional | | $91.20 | $102.33 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $66.07 / $66.07
| Facility | | $66.07 | $66.07 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $72.44 / $194.98
| Professional | | $61.66 | $72.44 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $66.07 / $151.36
| Professional | | $66.07 | $66.07 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $87.10 / $107.15
| Facility | | $75.86 | $87.10 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $53.70 / $123.03
| Professional | | $35.48 | $53.70 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $85.11 / $114.82
| Facility | | $40.74 | $85.11 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $93.33 / $234.42
| Professional | | $63.10 | $93.33 | $234.42 |