- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $147.91 / $190.55
| Facility | | $89.13 | $147.91 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $151.36 / $416.87
| Professional | | $131.83 | $151.36 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $125.89 / $147.91
| Professional | | $47.86 | $125.89 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $186.21 / $5,011.87
| Facility | | $158.49 | $186.21 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $177.83
| Professional | | $177.83 | $177.83 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $165.96 / $165.96
| Facility | | $165.96 | $165.96 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $165.96 / $165.96
| Professional | | $165.96 | $165.96 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $138.04 / $138.04
| Professional | | $138.04 | $138.04 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $169.82 / $229.09
| Facility | | $53.70 | $169.82 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $151.36 / $251.19
| Facility | | $89.13 | $151.36 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $151.36 / $371.54
| Professional | | $141.25 | $151.36 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $134.90 / $134.90
| Facility | | $134.90 | $134.90 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $134.90 / $134.90
| Professional | | $134.90 | $134.90 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $181.97 / $234.42
| Professional | | $147.91 | $181.97 | $234.42 |