- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $11.83 / $22.76
| Facility | | $10.27 | $11.83 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $13.23 / $23.84
| Professional | | $10.27 | $13.23 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $22.92 / $23.34
| Professional | | $14.40 | $22.92 | $23.34 |
- 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
- $14.92 / $16.07 / $28.22
| Professional | | $14.92 | $16.07 | $28.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $16.98
| Facility | | $16.98 | $16.98 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $18.30 / $28.65
| Professional | | $14.06 | $18.30 | $28.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.74 / $27.74 / $27.74
| Facility | | $27.74 | $27.74 | $27.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $22.23 / $30.58
| Professional | | $17.29 | $22.23 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.19 / $16.48 / $19.48
| Professional | | $14.19 | $16.48 | $19.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $11.83 / $22.76
| Facility | | $10.27 | $11.83 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.97 / $16.22 / $30.95
| Professional | | $10.97 | $16.22 | $30.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $16.50 / $16.50
| Facility | | $16.50 | $16.50 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $17.97 / $30.20
| Professional | | $14.08 | $17.97 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $16.98
| Facility | | $16.98 | $16.98 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $18.30 / $29.08
| Professional | | $14.06 | $18.30 | $29.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $14.46 / $16.64
| Facility | | $12.56 | $14.46 | $16.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $14.41 / $15.17
| Professional | | $12.56 | $14.41 | $15.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $17.39 / $29.74
| Professional | | $12.86 | $17.39 | $29.74 |