- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.83 / $27.35 / $27.88
| Facility | | $26.83 | $27.35 | $27.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.25 / $27.88 / $45.24
| Professional | | $25.25 | $27.88 | $45.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.59 / $28.59 / $35.77
| Professional | | $28.59 | $28.59 | $35.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.08 / $60.08 / $60.08
| Facility | | $60.08 | $60.08 | $60.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.99 / $43.99 / $43.99
| Facility | | $43.99 | $43.99 | $43.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.11 / $32.11 / $43.99
| Professional | | $32.11 | $32.11 | $43.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.40 / $278.23 / $278.23
| Facility | | $100.40 | $278.23 | $278.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.94 / $300.94 / $437.18
| Professional | | $300.94 | $300.94 | $437.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.19 / $42.70 / $60.08
| Facility | | $17.19 | $42.70 | $60.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.19 / $54.07 / $60.08
| Professional | | $17.19 | $54.07 | $60.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.96 / $61.28 / $135.18
| Professional | | $45.96 | $61.28 | $135.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.19 / $42.99 / $60.08
| Facility | | $17.19 | $42.99 | $60.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.11 / $32.11 / $46.90
| Professional | | $32.11 | $32.11 | $46.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.19 / $32.06 / $38.20
| Professional | | $22.19 | $32.06 | $38.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.94 / $31.98 / $60.08
| Professional | | $31.94 | $31.98 | $60.08 |