- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $87.10 / $380.19
| Facility | | $33.11 | $87.10 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.02 / $39.81
| Professional | | $7.08 | $12.02 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.50 / $47.86
| Professional | | $15.14 | $19.50 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $23.44
| Facility | | $23.44 | $23.44 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $23.44
| Professional | | $23.44 | $23.44 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $53,703.18
| Facility | | $53.70 | $53.70 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $162.18
| Professional | | $26.92 | $26.92 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $37.15 / $89.13
| Facility | | $5.01 | $37.15 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $60.26 / $112.20
| Professional | | $39.81 | $60.26 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $22.91 / $43.65
| Professional | | $19.50 | $22.91 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $56.23
| Facility | | $40.74 | $40.74 | $56.23 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $107.15 / $134.90
| Facility | | $74.13 | $107.15 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $19.05 / $47.86
| Professional | | $12.59 | $19.05 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $22.39 / $22.39
| Facility | | $16.98 | $22.39 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $22.39 / $43.65
| Professional | | $11.75 | $22.39 | $43.65 |