- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $28.84 / $45.71
| Facility | | $25.70 | $28.84 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $33.88 / $67.61
| Professional | | $21.88 | $33.88 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $46.77 / $104.71
| Professional | | $46.77 | $46.77 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $50.12 / $50.12
| Facility | | $46.77 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Professional | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $50,118.72
| Facility | | $79.43 | $79.43 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $72.44
| Professional | | $30.90 | $30.90 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $102.33 / $234.42
| Facility | | $61.66 | $102.33 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $89.13 / $123.03
| Professional | | $54.95 | $89.13 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $35.48
| Facility | | $19.05 | $19.05 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $35.48 / $37.15
| Professional | | $19.05 | $35.48 | $37.15 |
- 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
- $33.11 / $33.11 / $45.71
| Professional | | $33.11 | $33.11 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $30.20 / $54.95
| Professional | | $19.95 | $30.20 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $35.48 / $38.02
| Facility | | $34.67 | $35.48 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $35.48 / $37.15
| Professional | | $19.05 | $35.48 | $37.15 |