- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.79 / $131.90 / $212.47
| Facility | | $40.79 | $131.90 | $212.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.97 / $40.79 / $85.59
| Professional | | $38.97 | $40.79 | $85.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.31 / $67.03 / $183.54
| Facility | | $43.31 | $67.03 | $183.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.17 / $61.25 / $361.80
| Professional | | $35.17 | $61.25 | $361.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.37 / $133.52 / $233.43
| Facility | | $93.37 | $133.52 | $233.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.79 / $55.10 / $55.10
| Professional | | $54.79 | $55.10 | $55.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.13 / $85.34 / $165.36
| Facility | | $44.13 | $85.34 | $165.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.10 / $58.11 / $152.46
| Professional | | $31.10 | $58.11 | $152.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.95 / $3,472.00 / $9,239.00
| Facility | | $76.95 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.48 / $84.48 / $99.39
| Professional | | $84.48 | $84.48 | $99.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.62 / $58.62 / $181.54
| Professional | | $58.62 | $58.62 | $181.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.00 / $278.45 / $278.45
| Facility | | $102.00 | $278.45 | $278.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.17 / $45.28 / $361.80
| Professional | | $35.17 | $45.28 | $361.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.76 / $58.62 / $70.34
| Facility | | $52.76 | $58.62 | $70.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.17 / $35.90 / $112.61
| Professional | | $35.17 | $35.90 | $112.61 |