- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.01 / $148.31 / $201.39
| Facility | | $64.01 | $148.31 | $201.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.09 / $79.86 / $87.85
| Professional | | $78.09 | $79.86 | $87.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.95 / $86.64 / $8,459.92
| Facility | | $73.95 | $86.64 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.88 / $82.88 / $82.88
| Professional | | $82.88 | $82.88 | $82.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.34 / $79.86 / $79.86
| Facility | | $75.34 | $79.86 | $79.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.86 / $79.86 / $81.77
| Professional | | $79.86 | $79.86 | $81.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.87 / $86.64 / $111.80
| Professional | | $82.87 | $86.64 | $111.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $376.68 / $376.68 / $413.31
| Facility | | $376.68 | $376.68 | $413.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.01 / $138.16 / $311.44
| Facility | | $64.01 | $138.16 | $311.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.01 / $79.86 / $160.10
| Professional | | $64.01 | $79.86 | $160.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $217.20 / $350.80
| Professional | | $27.40 | $217.20 | $350.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.34 / $79.86 / $79.86
| Facility | | $75.34 | $79.86 | $79.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.86 / $79.86 / $82.88
| Professional | | $79.86 | $79.86 | $82.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.28 / $135.28 / $156.97
| Facility | | $135.28 | $135.28 | $156.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.28 / $135.28 / $156.97
| Professional | | $135.28 | $135.28 | $156.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.86 / $84.65 / $131.43
| Professional | | $79.86 | $84.65 | $131.43 |