- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.80 / $106.94 / $215.60
| Facility | | $48.80 | $106.94 | $215.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.82 / $39.34 / $119.00
| Professional | | $24.82 | $39.34 | $119.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $49.44 / $109.87
| Facility | | $32.01 | $49.44 | $109.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $35.58 / $139.15
| Professional | | $21.05 | $35.58 | $139.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.48 / $94.86 / $171.85
| Facility | | $49.48 | $94.86 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.97 / $32.97 / $33.32
| Professional | | $32.97 | $32.97 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.37 / $47.90 / $79.84
| Facility | | $27.37 | $47.90 | $79.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $36.88 / $91.12
| Professional | | $21.15 | $36.88 | $91.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.42 / $50.42 / $59.31
| Professional | | $50.42 | $50.42 | $59.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $35.09 / $108.67
| Professional | | $35.09 | $35.09 | $108.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.51 / $56.23 / $104.63
| Facility | | $41.51 | $56.23 | $104.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.00 / $78.00 / $78.00
| Professional | | $78.00 | $78.00 | $78.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.37 / $166.68 / $166.68
| Facility | | $61.37 | $166.68 | $166.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.32 / $178.45
| Professional | | $21.05 | $21.32 | $178.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.75 / $37.75 / $80.00
| Facility | | $28.75 | $37.75 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.22 / $36.34 / $52.64
| Professional | | $32.22 | $36.34 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $21.32 / $67.02
| Professional | | $21.05 | $21.32 | $67.02 |