- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.93 / $44.31 / $45.92
| Facility | | $41.93 | $44.31 | $45.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.71 / $45.16 / $74.05
| Professional | | $38.71 | $45.16 | $74.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $1.60 / $60.00
| Professional | | $1.60 | $1.60 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.95 / $37.95 / $37.95
| Facility | | $37.95 | $37.95 | $37.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.70 / $27.70 / $37.95
| Professional | | $27.70 | $27.70 | $37.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $431.88 / $447.64 / $447.64
| Facility | | $431.88 | $447.64 | $447.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $572.44 / $595.34 / $690.23
| Professional | | $572.44 | $595.34 | $690.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.42 / $74.58 / $135.83
| Facility | | $40.42 | $74.58 | $135.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.90 / $40.42 / $74.58
| Professional | | $34.90 | $40.42 | $74.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.27 / $154.87 / $156.91
| Professional | | $143.27 | $154.87 | $156.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.42 / $49.76 / $130.34
| Facility | | $40.42 | $49.76 | $130.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.70 / $27.70 / $37.95
| Professional | | $27.70 | $27.70 | $37.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.03 / $52.45 / $98.16
| Professional | | $44.03 | $52.45 | $98.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.00 / $39.00 / $82.44
| Professional | | $39.00 | $39.00 | $82.44 |