- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.26 / $156.34 / $286.77
| Facility | | $117.26 | $156.34 | $286.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.55 / $124.30 / $164.33
| Professional | | $97.55 | $124.30 | $164.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.57 / $103.63 / $163.07
| Professional | | $88.57 | $103.63 | $163.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.46 / $160.29 / $252.17
| Professional | | $154.46 | $160.29 | $252.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.16 / $224.16 / $224.16
| Facility | | $224.16 | $224.16 | $224.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.00 / $161.00 / $265.22
| Professional | | $102.00 | $161.00 | $265.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.00 / $65.00 / $224.07
| Professional | | $65.00 | $65.00 | $224.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.14 / $130.22 / $165.37
| Professional | | $114.14 | $130.22 | $165.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.12 / $194.02 / $337.37
| Facility | | $130.12 | $194.02 | $337.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.32 / $132.88 / $189.74
| Professional | | $101.32 | $132.88 | $189.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.00 / $127.94 / $179.68
| Professional | | $95.00 | $127.94 | $179.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.00 / $120.11 / $167.75
| Professional | | $95.00 | $120.11 | $167.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.16 / $224.16 / $224.16
| Facility | | $224.16 | $224.16 | $224.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.00 / $161.00 / $266.27
| Professional | | $102.00 | $161.00 | $266.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.00 / $123.68 / $145.33
| Facility | | $117.00 | $123.68 | $145.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.41 / $135.52 / $143.41
| Professional | | $120.41 | $135.52 | $143.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.68 / $144.84 / $238.36
| Professional | | $100.68 | $144.84 | $238.36 |