- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.20 / $198.10 / $317.67
| Facility | | $70.20 | $198.10 | $317.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.98 / $73.65 / $200.25
| Professional | | $56.98 | $73.65 | $200.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.03 / $98.89 / $219.80
| Facility | | $64.03 | $98.89 | $219.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $73.70 / $278.39
| Professional | | $42.12 | $73.70 | $278.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.46 / $189.72 / $343.70
| Facility | | $123.46 | $189.72 | $343.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.98 / $65.98 / $81.45
| Professional | | $65.98 | $65.98 | $81.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.76 / $62.62 / $159.71
| Facility | | $54.76 | $62.62 | $159.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.26 / $75.58 / $164.41
| Professional | | $42.26 | $75.58 | $164.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.59 / $140.40 / $6,679.00
| Facility | | $71.59 | $140.40 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.56 / $98.28 / $149.53
| Professional | | $77.56 | $98.28 | $149.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.20 / $70.20 / $217.40
| Professional | | $70.20 | $70.20 | $217.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.50 / $105.30 / $135.76
| Facility | | $71.50 | $105.30 | $135.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.68 / $193.71 / $200.68
| Professional | | $58.68 | $193.71 | $200.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.15 / $333.45 / $333.45
| Facility | | $122.15 | $333.45 | $333.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $52.00 / $351.00
| Professional | | $42.12 | $52.00 | $351.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $52.00 / $147.66
| Professional | | $42.12 | $52.00 | $147.66 |