- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.77 / $61.49 / $358.45
| Professional | | $44.77 | $61.49 | $358.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.32 / $8.11 / $211.99
| Facility | | $7.32 | $8.11 | $211.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.35 / $79.34 / $155.12
| Professional | | $53.35 | $79.34 | $155.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.09 / $147.09 / $147.09
| Facility | | $147.09 | $147.09 | $147.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.90 / $67.15 / $100.00
| Professional | | $63.90 | $67.15 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.10 / $62.10 / $98.98
| Facility | | $62.10 | $62.10 | $98.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.79 / $62.10 / $166.88
| Professional | | $52.79 | $62.10 | $166.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.09 / $72.09 / $86.51
| Professional | | $72.09 | $72.09 | $86.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.54 / $86.97 / $167.72
| Professional | | $74.54 | $86.97 | $167.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.03 / $640.17 / $640.17
| Facility | | $180.03 | $640.17 | $640.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.01 / $79.34 / $124.24
| Facility | | $40.01 | $79.34 | $124.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.79 / $62.10 / $82.64
| Professional | | $52.79 | $62.10 | $82.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.49 / $234.49 / $234.49
| Professional | | $234.49 | $234.49 | $234.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.09 / $72.09 / $99.39
| Professional | | $72.09 | $72.09 | $99.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.62 / $61.98 / $106.19
| Professional | | $48.62 | $61.98 | $106.19 |