- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $32.36 / $102.33
| Facility | | $26.92 | $32.36 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $32.36 / $54.95
| Professional | | $30.20 | $32.36 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $32.36 / $32.36
| Professional | | $30.90 | $32.36 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $30.90
| Facility | | $28.18 | $28.18 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $28.18
| Professional | | $28.18 | $28.18 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $35.48 / $50,118.72
| Facility | | $32.36 | $35.48 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $169.82
| Professional | | $35.48 | $35.48 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $69.18
| Facility | | $33.88 | $33.88 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.11
| Facility | | $33.11 | $33.11 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $35.48
| Professional | | $33.11 | $33.11 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $36.31
| Facility | | $36.31 | $36.31 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $50,118.72 / $75,857.76
| Facility | | $66.07 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $35.48 / $47.86
| Professional | | $31.62 | $35.48 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $33.11 / $34.67
| Facility | | $23.99 | $33.11 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $33.11 / $39.81
| Professional | | $23.99 | $33.11 | $39.81 |