- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $891.25 / $3,235.94
| Facility | | $46.77 | $891.25 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $141.25 / $457.09 / $707.95
| Facility | 50 | $141.25 | $457.09 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $70.79 / $194.98
| Professional | | $35.48 | $70.79 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $66.07 / $144.54 / $316.23
| Professional | 50 | $66.07 | $144.54 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $602.56 / $2,818.38
| Facility | | $56.23 | $602.56 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $64.57 / $162.18
| Professional | | $38.02 | $64.57 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $93.33
| Facility | | $40.74 | $40.74 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $70.79 / $114.82
| Professional | | $40.74 | $70.79 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $72.44 / $128.82
| Professional | | $39.81 | $72.44 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $83.18 / $7,079.46
| Facility | | $38.02 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $79.43 / $109.65
| Professional | | $64.57 | $79.43 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $69.18 / $144.54
| Professional | | $38.02 | $69.18 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $436.52 / $1,202.26
| Facility | | $316.23 | $436.52 | $1,202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $77.62 / $112.20
| Professional | | $42.66 | $77.62 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $602.56 / $2,818.38
| Facility | | $56.23 | $602.56 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $64.57 / $162.18
| Professional | | $38.02 | $64.57 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $72.44 / $107.15
| Professional | | $40.74 | $72.44 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,819.70 / $2,818.38
| Facility | | $501.19 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $67.61 / $141.25
| Professional | | $39.81 | $67.61 | $141.25 |