- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $398.11 / $3,235.94
| Facility | | $43.65 | $398.11 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $660.69 / $660.69 / $660.69
| Facility | 50 | $660.69 | $660.69 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $75.86 / $177.83
| Professional | | $38.90 | $75.86 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $72.44 / $128.82 / $275.42
| Professional | 50 | $72.44 | $128.82 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $58.88 / $79.43
| Professional | | $44.67 | $58.88 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $67.61 / $85.11 / $117.49
| Professional | 50 | $67.61 | $85.11 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $4,466.84 / $8,709.64
| Facility | | $501.19 | $4,466.84 | $8,709.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $60.26 / $117.49
| Professional | | $32.36 | $60.26 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.98 / $91.20 / $173.78
| Professional | 50 | $48.98 | $91.20 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $43.65 / $51.29
| Facility | | $35.48 | $43.65 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $67.61 / $75.86
| Professional | | $52.48 | $67.61 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $46.77
| Facility | | $38.90 | $38.90 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $63.10 / $120.23
| Professional | | $40.74 | $63.10 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $2,137.96 / $5,754.40
| Facility | | $245.47 | $2,137.96 | $5,754.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $52.48 / $93.33
| Professional | | $36.31 | $52.48 | $93.33 |