- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.16 / $22.78 / $25.01
| Facility | | $21.16 | $22.78 | $25.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.73 / $25.01 / $49.51
| Professional | | $20.73 | $25.01 | $49.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.45 / $22.86 / $30.44
| Professional | | $16.45 | $22.86 | $30.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,639.91 / $79,506.39
| Facility | | $8,459.92 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.77 / $25.71 / $49.63
| Professional | | $24.77 | $25.71 | $49.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $37.28 / $37.28
| Facility | | $37.28 | $37.28 | $37.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.60 / $30.53 / $52.97
| Professional | | $22.60 | $30.53 | $52.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.27 / $49.27 / $49.27
| Facility | | $49.27 | $49.27 | $49.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.92 / $36.56 / $110.00
| Professional | | $27.92 | $36.56 | $110.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.77 / $26.09 / $27.64
| Professional | | $21.77 | $26.09 | $27.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.16 / $22.78 / $23.05
| Facility | | $21.16 | $22.78 | $23.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.61 / $26.85 / $61.17
| Professional | | $21.61 | $26.85 | $61.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $23.46 / $27.29
| Professional | | $17.60 | $23.46 | $27.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.22 / $47.60 / $59.10
| Professional | | $22.22 | $47.60 | $59.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.28 / $37.28 / $37.28
| Facility | | $37.28 | $37.28 | $37.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.73 / $31.35 / $56.23
| Professional | | $22.73 | $31.35 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.67 / $23.56 / $30.31
| Facility | | $21.67 | $23.56 | $30.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.67 / $23.54 / $28.82
| Professional | | $21.67 | $23.54 | $28.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.93 / $28.65 / $51.59
| Professional | | $20.93 | $28.65 | $51.59 |