- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $70.79 / $102.33
| Facility | | $19.50 | $70.79 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $19.05 / $19.05
| Professional | | $18.20 | $19.05 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $22.91
| Professional | | $8.71 | $8.71 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $21.38 / $21.38
| Facility | | $12.88 | $21.38 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $21.38 / $21.38
| Professional | | $15.85 | $21.38 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50,118.72
| Facility | | $50.12 | $50.12 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $30.20 / $114.82
| Professional | | $14.45 | $30.20 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $21.38
| Professional | | $21.38 | $21.38 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $23.44 / $25.70
| Professional | | $19.50 | $23.44 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $74.13
| Facility | | $14.13 | $14.13 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $14.45 / $16.60
| Facility | | $10.00 | $14.45 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.98 / $38.90
| Professional | | $9.77 | $16.98 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $22.39 / $26.30
| Facility | | $19.50 | $22.39 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $23.44 / $27.54
| Professional | | $19.50 | $23.44 | $27.54 |