- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $74.13 / $35,481.34
| Facility | | $33.88 | $74.13 | $35,481.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.88 / $21,379.62
| Professional | | $33.11 | $33.88 | $21,379.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.11
| Professional | | $33.11 | $33.11 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $35.48
| Facility | | $33.88 | $33.88 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $30.90
| Facility | | $29.51 | $29.51 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $29.51
| Professional | | $29.51 | $29.51 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $31.62 / $85.11
| Facility | | $30.20 | $31.62 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $38.02
| Professional | | $33.88 | $33.88 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $41.69 / $114.82
| Facility | | $31.62 | $41.69 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $42.66
| Professional | | $32.36 | $32.36 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.88
| Facility | | $33.11 | $33.11 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.88 / $33.88
| Professional | | $33.11 | $33.88 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $39.81 / $54.95
| Facility | | $35.48 | $39.81 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $72.44 / $53,703.18
| Facility | | $36.31 | $72.44 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $35.48
| Professional | | $35.48 | $35.48 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Facility | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $33.88 / $40.74
| Professional | | $31.62 | $33.88 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $38.02
| Facility | | $33.11 | $33.11 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.88 / $33.88
| Professional | | $33.11 | $33.88 | $33.88 |