- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.28 / $27.28 / $37.54
| Facility | | $27.28 | $27.28 | $37.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.41 / $29.57 / $39.68
| Professional | | $26.41 | $29.57 | $39.68 |
- 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
- $60.45 / $60.45 / $60.45
| Professional | | $60.45 | $60.45 | $60.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.04 / $57.04 / $57.04
| Facility | | $57.04 | $57.04 | $57.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.86 / $30.86 / $30.86
| Professional | | $30.86 | $30.86 | $30.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.47 / $81.84 / $87.65
| Professional | | $63.47 | $81.84 | $87.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.21 / $28.21 / $39.27
| Facility | | $28.21 | $28.21 | $39.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.28 / $27.28 / $37.54
| Facility | | $27.28 | $27.28 | $37.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.32 / $29.57 / $38.76
| Professional | | $24.32 | $29.57 | $38.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.60 / $21.60 / $28.40
| Professional | | $21.60 | $21.60 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.04 / $57.04 / $57.04
| Facility | | $57.04 | $57.04 | $57.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.86 / $30.86 / $30.86
| Professional | | $30.86 | $30.86 | $30.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.24 / $45.38 / $45.38
| Facility | | $40.24 | $45.38 | $45.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.24 / $40.24 / $46.29
| Professional | | $40.24 | $40.24 | $46.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.63 / $30.16 / $50.26
| Professional | | $25.63 | $30.16 | $50.26 |