- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $34.67 / $47.86
| Facility | | $22.91 | $34.67 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $36.31 / $54.95
| Professional | | $25.12 | $36.31 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $33.11 / $89.13
| Professional | | $25.12 | $33.11 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $53.70
| Facility | | $53.70 | $53.70 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $53.70
| Professional | | $53.70 | $53.70 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $63.10 / $53,703.18
| Facility | | $63.10 | $63.10 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $54.95
| Professional | | $36.31 | $36.31 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $43.65 / $109.65
| Facility | | $25.70 | $43.65 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $50.12 / $72.44
| Professional | | $37.15 | $50.12 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $44.67 / $75.86
| Professional | | $29.51 | $44.67 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $50,118.72 / $75,857.76
| Facility | | $64.57 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $54.95 / $83.18
| Professional | | $44.67 | $54.95 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $44.67 / $97.72
| Professional | | $33.11 | $44.67 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $44.67 / $44.67
| Facility | | $33.11 | $44.67 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $44.67 / $75.86
| Professional | | $30.90 | $44.67 | $75.86 |