- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.57 / $87.77 / $1,624.63
| Facility | | $48.57 | $87.77 | $1,624.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.80 / $64.56 / $399.52
| Professional | | $43.80 | $64.56 | $399.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.26 / $103.96 / $276.74
| Facility | | $48.26 | $103.96 | $276.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.51 / $100.62 / $345.93
| Professional | | $46.51 | $100.62 | $345.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.37 / $164.89 / $172.77
| Facility | | $138.37 | $164.89 | $172.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.55 / $103.80 / $133.47
| Professional | | $76.55 | $103.80 | $133.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.58 / $61.58 / $61.58
| Facility | | $61.58 | $61.58 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.80 / $48.80 / $66.69
| Professional | | $48.80 | $48.80 | $66.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.75 / $55.75 / $71.06
| Facility | | $55.75 | $55.75 | $71.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.40 / $76.52 / $105.49
| Professional | | $60.40 | $76.52 | $105.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.17 / $133.16 / $167.29
| Professional | | $67.17 | $133.16 | $167.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.16 / $293.68 / $338.35
| Facility | | $163.16 | $293.68 | $338.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.00 / $103.55 / $778.60
| Professional | | $75.00 | $103.55 | $778.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.96 / $276.74 / $276.74
| Facility | | $103.96 | $276.74 | $276.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.70 / $92.15 / $345.93
| Professional | | $40.70 | $92.15 | $345.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.11 / $47.28 / $67.08
| Facility | | $41.11 | $47.28 | $67.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.22 / $61.49 / $104.35
| Professional | | $45.22 | $61.49 | $104.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.70 / $88.83 / $166.68
| Professional | | $40.70 | $88.83 | $166.68 |