- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $83.18 / $177.83
| Facility | | $38.90 | $83.18 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $50.12 / $158.49
| Professional | | $32.36 | $50.12 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $38.02 / $74.13
| Professional | | $32.36 | $38.02 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $46.77
| Facility | | $46.77 | $46.77 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $46.77
| Professional | | $46.77 | $46.77 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $50,118.72
| Facility | | $54.95 | $54.95 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $52.48 / $120.23
| Professional | | $34.67 | $52.48 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $53.70 / $177.83
| Facility | | $30.20 | $53.70 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $50.12 / $74.13
| Professional | | $40.74 | $50.12 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $50.12 / $79.43
| Professional | | $30.90 | $50.12 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $91.20 / $338.84
| Facility | | $83.18 | $91.20 | $338.84 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $46.77 / $77.62
| Professional | | $38.90 | $46.77 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $42.66 / $83.18
| Professional | | $31.62 | $42.66 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $47.86 / $120.23
| Facility | | $28.18 | $47.86 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $47.86 / $112.20
| Professional | | $28.18 | $47.86 | $112.20 |