- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $977.24 / $7,244.36
| Facility | | $48.98 | $977.24 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $39.81 / $123.03
| Professional | | $14.13 | $39.81 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $16.60 / $32.36
| Professional | | $13.49 | $16.60 | $32.36 |
- 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
- $38.90 / $43.65 / $45.71
| Professional | | $38.90 | $43.65 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $42.66 / $173.78
| Facility | | $42.66 | $42.66 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $31.62 / $79.43
| Professional | | $14.13 | $31.62 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $74.13 / $81.28
| Professional | | $57.54 | $74.13 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $109.65
| Professional | | $42.66 | $64.57 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $338.84 / $457.09
| Facility | | $87.10 | $338.84 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $34.67 / $34.67
| Professional | | $34.67 | $34.67 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $1,047.13 / $6,165.95
| Facility | | $48.98 | $1,047.13 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $42.66 / $112.20
| Professional | | $19.95 | $42.66 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Professional | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $31.62 / $50.12
| Facility | | $23.99 | $31.62 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $31.62 / $50.12
| Professional | | $23.44 | $31.62 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $676.08 / $4,265.80
| Facility | | $144.54 | $676.08 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $38.90 / $69.18
| Professional | | $21.88 | $38.90 | $69.18 |