- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.98 / $143.30 / $339.86
| Facility | | $52.98 | $143.30 | $339.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.66 / $108.02 / $168.36
| Professional | | $43.66 | $108.02 | $168.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.43 / $220.40 / $479.95
| Facility | | $104.43 | $220.40 | $479.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.76 / $198.94 / $855.04
| Professional | | $65.76 | $198.94 | $855.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.23 / $314.64 / $411.19
| Facility | | $51.23 | $314.64 | $411.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.81 / $155.28 / $344.95
| Professional | | $71.81 | $155.28 | $344.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.19 / $570.95 / $793.14
| Facility | | $71.19 | $570.95 | $793.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.58 / $143.47 / $328.15
| Professional | | $55.58 | $143.47 | $328.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.58 / $93.42 / $6,679.00
| Facility | | $52.58 | $93.42 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.22 / $143.44 / $243.84
| Professional | | $78.22 | $143.44 | $243.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.80 / $146.11 / $354.86
| Professional | | $63.80 | $146.11 | $354.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.40 / $220.40 / $220.40
| Facility | | $220.40 | $220.40 | $220.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.69 / $300.52 / $855.04
| Professional | | $139.69 | $300.52 | $855.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $283.54 / $297.70 / $649.37
| Facility | | $283.54 | $297.70 | $649.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.75 / $195.47 / $421.06
| Professional | | $129.75 | $195.47 | $421.06 |