- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $31.62 / $45.71
| Facility | | $16.98 | $31.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $23.99 / $37.15
| Professional | | $15.14 | $23.99 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $63.10
| Professional | | $17.78 | $17.78 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $33.11 / $33.11
| Facility | | $30.90 | $33.11 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.11
| Professional | | $33.11 | $33.11 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $61.66 / $50,118.72
| Facility | | $19.50 | $61.66 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.60 / $28.18
| Professional | | $16.22 | $16.60 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $66.07 / $154.88
| Facility | | $40.74 | $66.07 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $46.77 / $77.62
| Professional | | $25.12 | $46.77 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $24.55 / $28.18
| Professional | | $22.91 | $24.55 | $28.18 |
- 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
- $26.30 / $38.90 / $38.90
| Professional | | $26.30 | $38.90 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $15.49 / $25.12
| Facility | | $12.59 | $15.49 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $19.95 / $34.67
| Professional | | $13.18 | $19.95 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $28.18
| Facility | | $22.91 | $22.91 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $24.55
| Professional | | $22.91 | $22.91 | $24.55 |