- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.58 / $74.48 / $358.21
| Professional | | $54.58 | $74.48 | $358.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.98 / $70.98 / $70.98
| Facility | | $70.98 | $70.98 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.82 / $51.82 / $70.98
| Professional | | $51.82 | $51.82 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.91 / $240.76 / $314.02
| Professional | | $86.91 | $240.76 | $314.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.20 / $102.04 / $124.16
| Facility | | $62.20 | $102.04 | $124.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.30 / $116.71 / $130.37
| Professional | | $92.30 | $116.71 | $130.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.55 / $124.16 / $136.58
| Facility | | $98.55 | $124.16 | $136.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.74 / $124.16 / $128.54
| Professional | | $111.74 | $124.16 | $128.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.98 / $106.51 / $130.37
| Facility | | $70.98 | $106.51 | $130.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.82 / $108.72 / $136.58
| Professional | | $51.82 | $108.72 | $136.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.44 / $206.46 / $435.60
| Facility | | $103.44 | $206.46 | $435.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.78 / $136.58 / $136.58
| Professional | | $106.78 | $136.58 | $136.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.35 / $56.68 / $108.14
| Professional | | $53.35 | $56.68 | $108.14 |