- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.19 / $103.74 / $138.32
| Facility | | $81.19 | $103.74 | $138.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.91 / $86.29 / $121.52
| Professional | | $69.91 | $86.29 | $121.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.09 / $384.09 / $384.09
| Facility | | $384.09 | $384.09 | $384.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.62 / $163.81 / $590.30
| Professional | | $91.62 | $163.81 | $590.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.31 / $452.13 / $537.53
| Facility | | $92.31 | $452.13 | $537.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.31 / $139.66 / $205.07
| Professional | | $92.31 | $139.66 | $205.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.96 / $537.96 / $602.78
| Facility | | $537.96 | $537.96 | $602.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.00 / $98.00 / $223.14
| Professional | | $72.00 | $98.00 | $223.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.46 / $120.46 / $135.88
| Facility | | $120.46 | $120.46 | $135.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.87 / $120.46 / $120.46
| Professional | | $99.87 | $120.46 | $120.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.75 / $174.53 / $248.59
| Professional | | $91.75 | $174.53 | $248.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.58 / $331.44 / $349.67
| Facility | | $296.58 | $331.44 | $349.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.41 / $195.95 / $205.75
| Professional | | $124.41 | $195.95 | $205.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.09 / $384.09 / $384.09
| Facility | | $384.09 | $384.09 | $384.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.85 / $160.28 / $590.30
| Professional | | $97.85 | $160.28 | $590.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.25 / $120.02 / $265.69
| Professional | | $93.25 | $120.02 | $265.69 |