- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $26.92 / $53.70
| Facility | | $21.38 | $26.92 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $21.88 / $27.54
| Professional | | $20.89 | $21.88 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $22.39 / $32.36
| Professional | | $19.50 | $22.39 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $24.55
| Facility | | $22.39 | $22.39 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $22.39
| Professional | | $22.39 | $22.39 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $22.91 / $50,118.72
| Facility | | $10.23 | $22.91 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $120.23
| Professional | | $22.91 | $22.91 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $24.55 / $38.90
| Facility | | $10.96 | $24.55 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $16.22 / $25.70
| Professional | | $9.12 | $16.22 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $14.13
| Professional | | $14.13 | $14.13 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $50,118.72 / $75,857.76
| Facility | | $48.98 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $18.20 / $22.91
| Facility | | $12.59 | $18.20 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $32.36
| Professional | | $22.39 | $22.39 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $8.71 / $8.71
| Facility | | $7.76 | $8.71 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.71 / $22.91
| Professional | | $7.76 | $8.71 | $22.91 |