- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.58 / $240.05 / $581.66
| Facility | | $118.58 | $240.05 | $581.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.01 / $118.58 / $133.25
| Professional | | $107.01 | $118.58 | $133.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.24 / $130.15 / $433.83
| Facility | | $114.24 | $130.15 | $433.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.35 / $57.35 / $104.18
| Professional | | $57.35 | $57.35 | $104.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.61 / $187.99 / $202.45
| Facility | | $144.61 | $187.99 | $202.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.61 / $173.53 / $216.92
| Professional | | $144.61 | $173.53 | $216.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.02 / $144.61 / $336.22
| Facility | | $100.02 | $144.61 | $336.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.14 / $177.11 / $348.28
| Professional | | $79.14 | $177.11 | $348.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.61 / $144.61 / $286.56
| Facility | | $144.61 | $144.61 | $286.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.77 / $154.88 / $245.84
| Professional | | $86.77 | $154.88 | $245.84 |