- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.36 / $44.48 / $44.48
| Facility | | $42.36 | $44.48 | $44.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.14 / $44.48 / $53.53
| Professional | | $41.14 | $44.48 | $53.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,639.91 / $79,506.39
| Facility | | $8,459.92 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.19 / $58.31 / $104.35
| Professional | | $56.19 | $58.31 | $104.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.03 / $65.03 / $65.03
| Facility | | $65.03 | $65.03 | $65.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.10 / $49.10 / $49.10
| Professional | | $49.10 | $49.10 | $49.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.51 / $119.51 / $119.51
| Facility | | $119.51 | $119.51 | $119.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.60 / $80.61 / $112.99
| Professional | | $62.60 | $80.61 | $112.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.36 / $44.48 / $44.48
| Facility | | $42.36 | $44.48 | $44.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.14 / $45.85 / $56.18
| Professional | | $41.14 | $45.85 | $56.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.90 / $131.50 / $131.50
| Professional | | $106.90 | $131.50 | $131.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.03 / $65.03 / $65.03
| Facility | | $65.03 | $65.03 | $65.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.10 / $49.10 / $49.10
| Professional | | $49.10 | $49.10 | $49.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.13 / $55.13 / $62.96
| Facility | | $55.13 | $55.13 | $62.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.03 / $55.87 / $56.24
| Professional | | $53.03 | $55.87 | $56.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.26 / $60.90 / $106.83
| Professional | | $49.26 | $60.90 | $106.83 |