- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.68 / $143.97 / $203.87
| Facility | | $105.68 | $143.97 | $203.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.17 / $143.97 / $289.00
| Professional | | $88.17 | $143.97 | $289.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.92 / $478.90 / $478.90
| Facility | | $90.92 | $478.90 | $478.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.09 / $246.47 / $845.09
| Professional | | $117.09 | $246.47 | $845.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.69 / $204.63 / $316.87
| Professional | | $147.69 | $204.63 | $316.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.94 / $130.94 / $130.94
| Facility | | $130.94 | $130.94 | $130.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.70 / $185.16 / $311.07
| Professional | | $108.70 | $185.16 | $311.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.18 / $98.18 / $125.13
| Facility | | $98.18 | $98.18 | $125.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.61 / $143.08 / $220.40
| Professional | | $79.61 | $143.08 | $220.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.13 / $264.91 / $366.47
| Professional | | $141.13 | $264.91 | $366.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $171.39 / $214.38 / $425.73
| Professional | | $171.39 | $214.38 | $425.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.90 / $478.90 / $478.90
| Facility | | $478.90 | $478.90 | $478.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.66 / $274.45 / $845.09
| Professional | | $133.66 | $274.45 | $845.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.73 / $122.51 / $247.07
| Professional | | $46.73 | $122.51 | $247.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.91 / $185.43 / $345.57
| Professional | | $128.91 | $185.43 | $345.57 |