- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.01 / $106.23 / $129.22
| Facility | | $77.01 | $106.23 | $129.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.89 / $84.51 / $136.53
| Professional | | $63.89 | $84.51 | $136.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.36 / $346.80 / $346.80
| Facility | | $66.36 | $346.80 | $346.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.52 / $163.59 / $546.96
| Professional | | $84.52 | $163.59 | $546.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.72 / $80.72 / $102.43
| Facility | | $80.72 | $80.72 | $102.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.95 / $139.97 / $198.06
| Professional | | $101.95 | $139.97 | $198.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.69 / $94.69 / $94.69
| Facility | | $94.69 | $94.69 | $94.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.08 / $129.01 / $206.34
| Professional | | $74.08 | $129.01 | $206.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.04 / $71.04 / $90.55
| Facility | | $71.04 | $71.04 | $90.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.82 / $86.79 / $144.65
| Professional | | $48.82 | $86.79 | $144.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.80 / $186.83 / $233.47
| Professional | | $96.80 | $186.83 | $233.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.20 / $131.38 / $138.09
| Professional | | $76.20 | $131.38 | $138.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.80 / $346.80 / $346.80
| Facility | | $346.80 | $346.80 | $346.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.18 / $178.96 / $546.96
| Professional | | $95.18 | $178.96 | $546.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.51 / $132.16 / $220.21
| Professional | | $90.51 | $132.16 | $220.21 |