- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.18 / $53.18 / $76.20
| Facility | | $53.18 | $53.18 | $76.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.46 / $53.18 / $68.54
| Professional | | $34.46 | $53.18 | $68.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.31 / $265.27 / $324.51
| Facility | | $81.31 | $265.27 | $324.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.47 / $67.62 / $87.47
| Professional | | $40.47 | $67.62 | $87.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.88 / $157.15 / $202.39
| Facility | | $132.88 | $157.15 | $202.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.72 / $82.31 / $82.31
| Professional | | $71.72 | $82.31 | $82.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.20 / $67.20 / $77.70
| Facility | | $67.20 | $67.20 | $77.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.06 / $63.34 / $84.75
| Professional | | $49.06 | $63.34 | $84.75 |
- 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
- $98.53 / $98.53 / $103.46
| Professional | | $98.53 | $98.53 | $103.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.02 / $74.02 / $74.02
| Facility | | $74.02 | $74.02 | $74.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.02 / $74.02 / $74.02
| Professional | | $74.02 | $74.02 | $74.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.93 / $324.51 / $324.51
| Facility | | $161.93 | $324.51 | $324.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.18 / $60.71 / $94.32
| Professional | | $37.18 | $60.71 | $94.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.56 / $124.56 / $124.56
| Facility | | $124.56 | $124.56 | $124.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.00 / $60.71 / $91.73
| Professional | | $39.00 | $60.71 | $91.73 |