- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $2,818.38 / $5,623.41
| Facility | | $33.88 | $2,818.38 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $42.66 / $102.33
| Professional | | $32.36 | $42.66 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $19.05 / $19.05 / $38.02
| Professional | 50 | $19.05 | $19.05 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $630.96 / $2,754.23
| Facility | | $56.23 | $630.96 | $2,754.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $54.95 / $128.82
| Professional | | $31.62 | $54.95 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $91.20
| Facility | | $39.81 | $39.81 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $69.18 / $97.72
| Professional | | $39.81 | $69.18 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $69.18 / $128.82
| Professional | | $36.31 | $69.18 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $83.18 / $7,079.46
| Facility | | $35.48 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $58.88 / $81.28
| Professional | | $46.77 | $58.88 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,862.09 / $3,467.37
| Facility | | $501.19 | $1,862.09 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $56.23 / $112.20
| Professional | | $35.48 | $56.23 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $870.96 / $891.25
| Facility | | $870.96 | $870.96 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $58.88 / $60.26
| Professional | | $31.62 | $58.88 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $676.08 / $2,818.38
| Facility | | $56.23 | $676.08 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $54.95 / $128.82
| Professional | | $31.62 | $54.95 | $128.82 |
- 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
- $35.48 / $54.95 / $112.20
| Professional | | $35.48 | $54.95 | $112.20 |