- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.41 / $147.02 / $546.03
| Facility | | $54.41 | $147.02 | $546.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.63 / $48.83 / $172.00
| Professional | | $38.63 | $48.83 | $172.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.07 / $60.34 / $143.51
| Facility | | $39.07 | $60.34 | $143.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $50.73 / $352.23
| Professional | | $25.70 | $50.73 | $352.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.21 / $120.42 / $210.53
| Facility | | $84.21 | $120.42 | $210.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.27 / $40.27 / $54.79
| Professional | | $40.27 | $40.27 | $54.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.65 / $73.27 / $165.36
| Facility | | $40.65 | $73.27 | $165.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $47.36 / $115.65
| Professional | | $25.81 | $47.36 | $115.65 |
- 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
- $61.61 / $61.61 / $72.48
| Professional | | $61.61 | $61.61 | $72.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.84 / $42.84 / $139.30
| Professional | | $42.84 | $42.84 | $139.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.22 / $171.50 / $401.86
| Facility | | $53.22 | $171.50 | $401.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.54 / $227.00 / $227.00
| Facility | | $74.54 | $227.00 | $227.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $36.81 / $352.23
| Professional | | $25.70 | $36.81 | $352.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.56 / $51.41 / $70.27
| Facility | | $41.56 | $51.41 | $70.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.56 / $52.99 / $64.26
| Professional | | $41.56 | $52.99 | $64.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $25.70
| Facility | | $25.70 | $25.70 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $35.90 / $85.68
| Professional | | $25.70 | $35.90 | $85.68 |