- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.39 / $161.30 / $56,081.13
| Facility | | $37.39 | $161.30 | $56,081.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $36.77 / $7,641.12
| Professional | | $34.04 | $36.77 | $7,641.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.63 / $59.61 / $72.95
| Facility | | $56.63 | $59.61 | $72.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.20 / $35.20 / $35.20
| Professional | | $35.20 | $35.20 | $35.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.11 / $32.11 / $34.04
| Facility | | $32.11 | $32.11 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $34.04 / $34.04
| Professional | | $34.04 | $34.04 | $34.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.65 / $52.12 / $93.34
| Facility | | $36.65 | $52.12 | $93.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.65 / $36.65 / $58.66
| Professional | | $36.65 | $36.65 | $58.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.03 / $34.03 / $34.03
| Facility | | $34.03 | $34.03 | $34.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.04 / $34.04 / $57.89
| Professional | | $34.04 | $34.04 | $57.89 |