- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.76 / $80.23 / $80.23
| Facility | | $70.76 | $80.23 | $80.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.60 / $70.76 / $94.02
| Professional | | $61.60 | $70.76 | $94.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.84 / $95.33 / $251.07
| Facility | | $78.84 | $95.33 | $251.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.69 / $91.25 / $174.64
| Professional | | $76.69 | $91.25 | $174.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.95 / $85.25 / $133.35
| Professional | | $72.95 | $85.25 | $133.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.67 / $102.67 / $110.06
| Professional | | $102.67 | $102.67 | $110.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.05 / $137.57 / $178.84
| Professional | | $93.05 | $137.57 | $178.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.06 / $105.45 / $189.11
| Professional | | $73.06 | $105.45 | $189.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.81 / $424.81 / $424.81
| Facility | | $424.81 | $424.81 | $424.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $471.02 / $639.32 / $957.00
| Professional | | $471.02 | $639.32 | $957.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.76 / $101.58 / $151.33
| Facility | | $70.76 | $101.58 | $151.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.72 / $102.67 / $149.41
| Professional | | $86.72 | $102.67 | $149.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $254.44 / $254.44 / $254.44
| Professional | | $254.44 | $254.44 | $254.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.44 / $89.20 / $222.27
| Professional | | $62.44 | $89.20 | $222.27 |