- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $52.48 / $95.50
| Facility | | $39.81 | $52.48 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $66.07
| Professional | | $39.81 | $39.81 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $39.81
| Professional | | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $38.90
| Facility | | $37.15 | $37.15 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $37.15
| Professional | | $37.15 | $37.15 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $85.11
| Facility | | $38.02 | $38.02 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $51.29
| Professional | | $39.81 | $39.81 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $48.98 / $134.90
| Facility | | $37.15 | $48.98 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $42.66 / $56.23
| Professional | | $41.69 | $42.66 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $38.02
| Facility | | $36.31 | $36.31 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $38.02 / $38.02
| Professional | | $36.31 | $38.02 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $50,118.72 / $75,857.76
| Facility | | $47.86 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $69.18 / $229.09
| Professional | | $69.18 | $69.18 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $41.69 / $53.70
| Professional | | $38.02 | $41.69 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $43.65
| Facility | | $36.31 | $36.31 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $38.02 / $38.02
| Professional | | $36.31 | $38.02 | $38.02 |