- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $144.54 / $354.81
| Facility | | $46.77 | $144.54 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $112.20 / $251.19
| Professional | | $40.74 | $112.20 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $154.88 / $478.63
| Facility | | $97.72 | $154.88 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $128.82 / $1,174.90
| Professional | | $44.67 | $128.82 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $204.17 / $407.38
| Facility | | $47.86 | $204.17 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $125.89 / $288.40
| Professional | | $47.86 | $125.89 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $380.19 / $575.44
| Facility | | $67.61 | $380.19 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $138.04 / $295.12
| Professional | | $48.98 | $138.04 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $75.86 / $7,079.46
| Facility | | $43.65 | $75.86 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $144.54 / $275.42
| Professional | | $79.43 | $144.54 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $138.04 / $338.84
| Professional | | $43.65 | $138.04 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $154.88 / $478.63
| Facility | | $97.72 | $154.88 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $131.83 / $1,174.90
| Professional | | $44.67 | $131.83 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $724.44 / $1,230.27
| Facility | | $245.47 | $724.44 | $1,230.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $117.49 / $323.59
| Professional | | $43.65 | $117.49 | $323.59 |