- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.36 / $81.68 / $96.10
| Facility | | $58.36 | $81.68 | $96.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.72 / $68.37 / $138.44
| Professional | | $52.72 | $68.37 | $138.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.23 / $344.23 / $344.23
| Facility | | $344.23 | $344.23 | $344.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.51 / $97.59 / $445.77
| Professional | | $59.51 | $97.59 | $445.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.97 / $116.86 / $268.82
| Facility | | $92.97 | $116.86 | $268.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.73 / $103.98 / $177.28
| Professional | | $69.73 | $103.98 | $177.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.00 / $67.59 / $170.00
| Professional | | $44.00 | $67.59 | $170.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.62 / $73.11 / $93.24
| Facility | | $66.62 | $73.11 | $93.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.57 / $69.93 / $93.24
| Professional | | $63.57 | $69.93 | $93.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.50 / $149.74 / $214.62
| Professional | | $72.50 | $149.74 | $214.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.10 / $62.26 / $82.98
| Facility | | $58.10 | $62.26 | $82.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.10 / $62.28 / $111.96
| Professional | | $58.10 | $62.28 | $111.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.23 / $344.23 / $344.23
| Facility | | $344.23 | $344.23 | $344.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.38 / $88.51 / $494.51
| Professional | | $57.38 | $88.51 | $494.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.26 / $40.99 / $79.95
| Facility | | $37.26 | $40.99 | $79.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.62 / $75.04 / $134.00
| Professional | | $41.62 | $75.04 | $134.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.08 / $79.31 / $161.01
| Professional | | $54.08 | $79.31 | $161.01 |