- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.29 / $119.18 / $225.51
| Facility | | $80.29 | $119.18 | $225.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.87 / $95.48 / $257.76
| Professional | | $75.87 | $95.48 | $257.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.72 / $83.20 / $132.47
| Professional | | $70.72 | $83.20 | $132.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.16 / $118.16 / $118.16
| Facility | | $118.16 | $118.16 | $118.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.16 / $118.16 / $118.16
| Professional | | $118.16 | $118.16 | $118.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.46 / $95.46 / $95.46
| Facility | | $95.46 | $95.46 | $95.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.87 / $106.76 / $274.20
| Professional | | $70.87 | $106.76 | $274.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.58 / $100.32 / $332.00
| Facility | | $59.58 | $100.32 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.02 / $111.06 / $177.60
| Professional | | $92.02 | $111.06 | $177.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.20 / $103.41 / $174.43
| Professional | | $64.20 | $103.41 | $174.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.46 / $95.46 / $74,999.25
| Facility | | $95.46 | $95.46 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.19 / $106.76 / $254.64
| Professional | | $62.19 | $106.76 | $254.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.97 / $94.97 / $209.75
| Professional | | $71.97 | $94.97 | $209.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.21 / $90.21 / $124.05
| Facility | | $90.21 | $90.21 | $124.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.20 / $90.21 / $174.43
| Professional | | $64.20 | $90.21 | $174.43 |