- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $245.47 / $478.63
| Facility | | $95.50 | $245.47 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $51.29 / $389.05
| Professional | | $38.02 | $51.29 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $138.04 / $295.12
| Facility | | $26.92 | $138.04 | $295.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $52.48 / $123.03
| Professional | | $33.88 | $52.48 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $138.04 / $575.44
| Facility | | $60.26 | $138.04 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $47.86 / $141.25
| Professional | | $33.88 | $47.86 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $102.33 / $204.17
| Facility | | $39.81 | $102.33 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $39.81 / $141.25
| Professional | | $31.62 | $39.81 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $58.88 / $79.43
| Professional | | $46.77 | $58.88 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $64.57 / $102.33
| Professional | | $52.48 | $64.57 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $275.42 / $275.42
| Facility | | $275.42 | $275.42 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $436.52 / $436.52
| Professional | | $363.08 | $436.52 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $58.88 / $58.88
| Professional | | $58.88 | $58.88 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $77.62 / $154.88
| Facility | | $50.12 | $77.62 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $58.88 / $120.23
| Professional | | $31.62 | $58.88 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $204.17 / $204.17
| Professional | | $204.17 | $204.17 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $66.07 / $691.83
| Professional | | $46.77 | $66.07 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $58.88 / $58.88
| Facility | | $24.55 | $58.88 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $25.70 / $112.20
| Professional | | $24.55 | $25.70 | $112.20 |