- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.38 / $13.42 / $78.83
| Facility | | $12.38 | $13.42 | $78.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $12.38 / $20.54
| Professional | | $9.19 | $12.38 | $20.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $9.80 / $9.80
| Professional | | $9.44 | $9.80 | $9.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.79 / $27.79 / $27.79
| Facility | | $27.79 | $27.79 | $27.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Professional | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.10 / $51.10 / $51.10
| Professional | | $51.10 | $51.10 | $51.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.23 / $135.49 / $725.26
| Facility | | $72.23 | $135.49 | $725.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.76 / $33.76 / $33.76
| Professional | | $33.76 | $33.76 | $33.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.38 / $13.42 / $78.83
| Facility | | $12.38 | $13.42 | $78.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $12.38 / $35.28
| Professional | | $9.19 | $12.38 | $35.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $465.75 / $1,146.21 / $1,146.21
| Facility | | $465.75 | $1,146.21 | $1,146.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $10.90 / $27.40
| Professional | | $10.90 | $10.90 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.79 / $27.79 / $27.79
| Facility | | $27.79 | $27.79 | $27.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Professional | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.04 / $34.04 / $34.04
| Facility | | $34.04 | $34.04 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $34.04 / $34.04
| Professional | | $34.04 | $34.04 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.01 / $25.18
| Professional | | $9.19 | $13.01 | $25.18 |