- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $37.15 / $61.66
| Facility | | $19.50 | $37.15 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $21.88 / $70.79
| Professional | | $15.14 | $21.88 | $70.79 |
- 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
- $21.38 / $25.12 / $40.74
| Professional | | $21.38 | $25.12 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $64.57 / $112.20
| Facility | | $24.55 | $64.57 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $27.54 / $45.71
| Professional | | $15.85 | $27.54 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $39.81 / $81.28
| Professional | | $33.88 | $39.81 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $45.71 / $102.33
| Facility | | $45.71 | $45.71 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $29.51 / $51.29
| Professional | | $15.85 | $29.51 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $44.67 / $44.67
| Facility | | $44.67 | $44.67 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $34.67 / $61.66
| Facility | | $19.50 | $34.67 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $23.99 / $69.18
| Professional | | $15.85 | $23.99 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $51.29 / $61.66
| Professional | | $45.71 | $51.29 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $41.69 / $57.54
| Facility | | $20.42 | $41.69 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $23.44 / $57.54
| Professional | | $20.42 | $23.44 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $26.30 / $26.92
| Facility | | $23.99 | $26.30 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $25.12 / $46.77
| Professional | | $15.85 | $25.12 | $46.77 |