- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.33 / $51.11 / $116.56
| Facility | | $38.33 | $51.11 | $116.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.82 / $60.49 / $108.50
| Professional | | $43.82 | $60.49 | $108.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.30 / $264.33 / $637.78
| Facility | | $70.30 | $264.33 | $637.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.70 / $79.68 / $114.25
| Professional | | $45.70 | $79.68 | $114.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.18 / $151.07 / $194.56
| Facility | | $124.18 | $151.07 | $194.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.68 / $103.81 / $135.84
| Professional | | $75.68 | $103.81 | $135.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.66 / $68.22 / $82.01
| Facility | | $67.66 | $68.22 | $82.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.80 / $68.22 / $119.79
| Professional | | $49.80 | $68.22 | $119.79 |
- 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
- $94.73 / $94.73 / $99.47
| Professional | | $94.73 | $94.73 | $99.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.74 / $60.74 / $60.74
| Facility | | $60.74 | $60.74 | $60.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.27 / $60.74 / $62.82
| Professional | | $59.27 | $60.74 | $62.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.33 / $637.78 / $637.78
| Facility | | $264.33 | $637.78 | $637.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.87 / $58.37 / $114.25
| Professional | | $41.87 | $58.37 | $114.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.65 / $91.31 / $91.54
| Professional | | $79.65 | $91.31 | $91.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.58 / $59.76 / $100.70
| Professional | | $42.58 | $59.76 | $100.70 |