- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $245.47 / $363.08
| Facility | | $28.84 | $245.47 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $123.03 / $269.15
| Professional | | $21.88 | $123.03 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $74.13 / $741.31
| Facility | | $57.54 | $74.13 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $162.18 / $489.78
| Professional | | $22.91 | $162.18 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $57.54 / $616.60
| Facility | | $22.39 | $57.54 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $724.44 / $891.25
| Facility | | $354.81 | $724.44 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $169.82 / $426.58
| Professional | | $26.30 | $169.82 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $56.23 / $7,079.46
| Facility | | $22.39 | $56.23 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $181.97 / $331.13
| Professional | | $93.33 | $181.97 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $162.18 / $398.11
| Professional | | $22.91 | $162.18 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $74.13 / $741.31
| Facility | | $57.54 | $74.13 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $162.18 / $501.19
| Professional | | $22.91 | $162.18 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $724.44 / $1,230.27
| Facility | | $257.04 | $724.44 | $1,230.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $102.33 / $398.11
| Professional | | $24.55 | $102.33 | $398.11 |