- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $30.20 / $42.66
| Facility | | $12.02 | $30.20 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.05 / $33.11
| Professional | | $15.14 | $19.05 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $75.86
| Facility | | $38.02 | $38.02 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $64.57
| Professional | | $20.89 | $20.89 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $30.90 / $30.90
| Facility | | $28.84 | $30.90 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Professional | | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $61.66 / $50,118.72
| Facility | | $21.38 | $61.66 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $38.02
| Professional | | $15.49 | $15.49 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $63.10 / $147.91
| Facility | | $38.02 | $63.10 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $39.81 / $74.13
| Professional | | $23.44 | $39.81 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $27.54
| Facility | | $26.30 | $26.30 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $22.91 / $26.30
| Professional | | $21.88 | $22.91 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $50,118.72 / $75,857.76
| Facility | | $56.23 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $36.31 / $36.31
| Professional | | $25.12 | $36.31 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $39.81 / $46.77
| Facility | | $14.13 | $39.81 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $19.05 / $32.36
| Professional | | $12.30 | $19.05 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $21.88 / $27.54
| Facility | | $21.38 | $21.88 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $22.91 / $26.30
| Professional | | $21.88 | $22.91 | $26.30 |