- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.84 / $112.26 / $158.28
| Facility | | $78.84 | $112.26 | $158.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.60 / $110.44 / $250.13
| Professional | | $61.60 | $110.44 | $250.13 |
- 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
- $87.64 / $188.72 / $657.47
| Professional | | $87.64 | $188.72 | $657.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.97 / $161.34 / $257.14
| Professional | | $105.97 | $161.34 | $257.14 |
- 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
- $81.31 / $140.53 / $234.48
| Professional | | $81.31 | $140.53 | $234.48 |
- 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
- $133.58 / $142.26 / $167.36
| Professional | | $133.58 | $142.26 | $167.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.97 / $197.32 / $284.62
| Professional | | $108.97 | $197.32 | $284.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.24 / $128.24 / $128.24
| Facility | | $128.24 | $128.24 | $128.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.05 / $168.17 / $331.87
| Professional | | $132.05 | $168.17 | $331.87 |
- 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
- $101.51 / $213.73 / $657.47
| Professional | | $101.51 | $213.73 | $657.47 |
- 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
- $59.30 / $94.79 / $194.35
| Professional | | $59.30 | $94.79 | $194.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.76 / $148.59 / $266.95
| Professional | | $95.76 | $148.59 | $266.95 |