- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.84 / $109.25 / $165.95
| Facility | | $78.84 | $109.25 | $165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.60 / $117.56 / $282.79
| Professional | | $61.60 | $117.56 | $282.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.28 / $356.87 / $356.87
| Facility | | $68.28 | $356.87 | $356.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.91 / $190.79 / $685.73
| Professional | | $93.91 | $190.79 | $685.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.21 / $165.86 / $238.69
| Professional | | $108.21 | $165.86 | $238.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.37 / $97.37 / $97.37
| Facility | | $97.37 | $97.37 | $97.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.79 / $142.41 / $239.95
| Professional | | $80.79 | $142.41 | $239.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.08 / $73.08 / $93.15
| Facility | | $73.08 | $73.08 | $93.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.16 / $156.84 / $184.52
| Professional | | $140.16 | $156.84 | $184.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.20 / $197.57 / $298.27
| Professional | | $114.20 | $197.57 | $298.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.65 / $187.39 / $347.35
| Professional | | $145.65 | $187.39 | $347.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.87 / $356.87 / $356.87
| Facility | | $356.87 | $356.87 | $356.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.41 / $222.46 / $685.73
| Professional | | $112.41 | $222.46 | $685.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.04 / $59.30 / $90.05
| Facility | | $49.04 | $59.30 | $90.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.91 / $118.80 / $217.70
| Professional | | $89.91 | $118.80 | $217.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.65 / $166.17 / $306.06
| Professional | | $106.65 | $166.17 | $306.06 |