- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $28.84 / $40.74
| Facility | | $12.88 | $28.84 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $25.70 / $33.88
| Professional | | $12.88 | $25.70 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $72.44
| Facility | | $36.31 | $36.31 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.18 / $53.70
| Professional | | $10.00 | $13.18 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $30.20
| Facility | | $21.38 | $21.38 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $21.38
| Professional | | $21.38 | $21.38 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $53,703.18
| Facility | | $57.54 | $57.54 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $173.78
| Professional | | $16.22 | $16.22 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $60.26 / $141.25
| Facility | | $36.31 | $60.26 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $66.07 / $104.71
| Professional | | $33.11 | $66.07 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.89
| Facility | | $20.42 | $20.42 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $21.88
| Professional | | $20.42 | $20.42 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $50,118.72 / $75,857.76
| Facility | | $40.74 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $36.31
| Facility | | $36.31 | $36.31 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $30.90 / $54.95
| Professional | | $12.02 | $30.90 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.89 / $20.89
| Facility | | $20.42 | $20.89 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $44.67
| Professional | | $20.42 | $20.42 | $44.67 |