- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.68 / $60.68 / $60.68
| Facility | | $60.68 | $60.68 | $60.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.42 / $60.68 / $101.44
| Professional | | $47.42 | $60.68 | $101.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.09 / $261.79 / $771.02
| Facility | | $80.09 | $261.79 | $771.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.15 / $96.33 / $135.63
| Professional | | $55.15 | $96.33 | $135.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.41 / $179.34 / $230.96
| Facility | | $147.41 | $179.34 | $230.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.94 / $100.94 / $100.94
| Professional | | $90.94 | $100.94 | $100.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.09 / $80.33 / $100.50
| Facility | | $77.09 | $80.33 | $100.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.28 / $77.09 / $132.76
| Professional | | $56.28 | $77.09 | $132.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.45 / $112.45 / $118.07
| Professional | | $112.45 | $112.45 | $118.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.60 / $89.60 / $89.60
| Professional | | $89.60 | $89.60 | $89.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.79 / $771.02 / $771.02
| Facility | | $261.79 | $771.02 | $771.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.62 / $69.29 / $135.63
| Professional | | $50.62 | $69.29 | $135.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.47 / $69.29 / $135.63
| Professional | | $51.47 | $69.29 | $135.63 |