- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.57 / $30.15 / $30.73
| Facility | | $29.57 | $30.15 | $30.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.84 / $30.73 / $49.87
| Professional | | $27.84 | $30.73 | $49.87 |
- 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
- $39.43 / $39.43 / $39.43
| Professional | | $39.43 | $39.43 | $39.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.23 / $66.23 / $66.23
| Facility | | $66.23 | $66.23 | $66.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.78 / $36.78 / $36.78
| Facility | | $36.78 | $36.78 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.85 / $26.85 / $26.85
| Professional | | $26.85 | $26.85 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.70 / $306.82 / $306.82
| Facility | | $110.70 | $306.82 | $306.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.67 / $331.67 / $482.48
| Professional | | $331.67 | $331.67 | $482.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.96 / $44.25 / $66.23
| Facility | | $18.96 | $44.25 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.96 / $59.61 / $66.23
| Professional | | $18.96 | $59.61 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.66 / $67.55 / $149.02
| Professional | | $50.66 | $67.55 | $149.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.96 / $39.82 / $66.23
| Facility | | $18.96 | $39.82 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.85 / $26.85 / $53.49
| Professional | | $26.85 | $26.85 | $53.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.70 / $66.70 / $78.48
| Facility | | $66.70 | $66.70 | $78.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.47 / $35.38 / $42.13
| Professional | | $24.47 | $35.38 | $42.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.47 / $35.26 / $66.23
| Professional | | $34.47 | $35.26 | $66.23 |