- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $91.20 / $125.89
| Facility | | $0.79 | $91.20 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,570.40 / $2,570.40 / $2,570.40
| Facility | 50 | $2,570.40 | $2,570.40 | $2,570.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $85.11 / $229.09
| Professional | | $48.98 | $85.11 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $77.62 / $234.42 / $436.52
| Professional | 50 | $77.62 | $234.42 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $2,041.74 / $7,079.46
| Facility | | $1.00 | $2,041.74 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $0.02 / $0.02
| Facility | 50 | $0.02 | $0.02 | $0.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $162.18 / $309.03
| Professional | | $93.33 | $162.18 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $134.90 / $234.42 / $416.87
| Professional | 50 | $134.90 | $234.42 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $338.84 / $812.83
| Facility | | $234.42 | $338.84 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $204.17 / $380.19
| Professional | | $112.20 | $204.17 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $323.59 / $645.65
| Facility | | $263.03 | $323.59 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $199.53 / $346.74
| Professional | | $112.20 | $199.53 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $125.89 / $331.13
| Facility | | $60.26 | $125.89 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,659.59 / $1,659.59 / $1,659.59
| Facility | 50 | $1,659.59 | $1,659.59 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $173.78 / $426.58
| Professional | | $89.13 | $173.78 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,862.09 / $3,467.37
| Facility | | $380.19 | $1,862.09 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $125.89 / $269.15
| Professional | | $64.57 | $125.89 | $269.15 |