- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $93.33 / $562.34
| Facility | | $32.36 | $93.33 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $40.74 / $208.93
| Professional | | $26.92 | $40.74 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $51.29 / $79.43
| Professional | | $32.36 | $51.29 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $190.55 / $190.55
| Facility | | $190.55 | $190.55 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $48.98 / $89.13
| Professional | | $30.90 | $48.98 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $47.86 / $57.54
| Professional | | $40.74 | $47.86 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $91.20 / $870.96
| Facility | | $91.20 | $91.20 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $54.95 / $97.72
| Professional | | $36.31 | $54.95 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $346.74 / $794.33
| Facility | | $69.18 | $346.74 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $63.10 / $562.34
| Facility | | $34.67 | $63.10 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $45.71 / $186.21
| Professional | | $28.18 | $45.71 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $66.07 / $245.47
| Facility | | $66.07 | $66.07 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $63.10 / $104.71
| Professional | | $51.29 | $63.10 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $51.29 / $79.43
| Facility | | $6.76 | $51.29 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $47.86 / $69.18
| Professional | | $0.09 | $47.86 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $39.81 / $74.13
| Professional | | $26.92 | $39.81 | $74.13 |