- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $38.02 / $67.61
| Facility | | $19.05 | $38.02 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $21.88 / $56.23
| Professional | | $18.20 | $21.88 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $20.89 / $42.66
| Professional | | $16.60 | $20.89 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $29.51
| Facility | | $29.51 | $29.51 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $32.36
| Professional | | $29.51 | $29.51 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $53,703.18
| Facility | | $32.36 | $32.36 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $27.54 / $57.54
| Professional | | $14.13 | $27.54 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.84 / $69.18
| Facility | | $18.20 | $28.84 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $30.90 / $48.98
| Professional | | $25.70 | $30.90 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $27.54 / $40.74
| Professional | | $17.38 | $27.54 | $40.74 |
- 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
- $24.55 / $29.51 / $32.36
| Professional | | $24.55 | $29.51 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $23.44 / $45.71
| Professional | | $16.22 | $23.44 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $21.38 / $81.28
| Facility | | $9.12 | $21.38 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $27.54 / $64.57
| Professional | | $16.22 | $27.54 | $64.57 |