- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.48 / $140.15 / $276.74
| Facility | | $100.48 | $140.15 | $276.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.16 / $133.49 / $272.35
| Professional | | $79.16 | $133.49 | $272.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.22 / $455.57 / $455.57
| Facility | | $86.22 | $455.57 | $455.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.31 / $229.69 / $785.23
| Professional | | $106.31 | $229.69 | $785.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.54 / $190.65 / $271.41
| Professional | | $135.54 | $190.65 | $271.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.66 / $124.66 / $124.66
| Facility | | $124.66 | $124.66 | $124.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.62 / $175.93 / $296.05
| Professional | | $103.62 | $175.93 | $296.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.42 / $93.42 / $119.07
| Facility | | $93.42 | $93.42 | $119.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $159.05 / $169.37 / $199.26
| Professional | | $159.05 | $169.37 | $199.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.22 / $252.22 / $340.10
| Professional | | $133.22 | $252.22 | $340.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.38 / $199.34 / $395.73
| Professional | | $144.38 | $199.34 | $395.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $455.57 / $455.57 / $455.57
| Facility | | $455.57 | $455.57 | $455.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.69 / $255.19 / $785.23
| Professional | | $121.69 | $255.19 | $785.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.14 / $73.04 / $94.00
| Facility | | $41.14 | $73.04 | $94.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.65 / $115.26 / $230.00
| Professional | | $75.65 | $115.26 | $230.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.23 / $171.79 / $314.66
| Professional | | $115.23 | $171.79 | $314.66 |