- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $126.69 / $129.63
| Facility | | $17.89 | $126.69 | $129.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $52.92 / $87.00
| Professional | | $21.88 | $52.92 | $87.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.47 / $36.47 / $36.47
| Professional | | $36.47 | $36.47 | $36.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.74 / $42.74 / $42.74
| Facility | | $42.74 | $42.74 | $42.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.88 / $14.88 / $14.88
| Professional | | $14.88 | $14.88 | $14.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.29 / $49.38 / $52.88
| Professional | | $38.29 | $49.38 | $52.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.24 / $60.24 / $306.57
| Facility | | $60.24 | $60.24 | $306.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $126.69 / $129.63
| Facility | | $17.89 | $126.69 | $129.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.36 / $52.92 / $87.96
| Professional | | $22.36 | $52.92 | $87.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.90 / $54.40 / $71.90
| Professional | | $44.90 | $54.40 | $71.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.74 / $42.74 / $42.74
| Facility | | $42.74 | $42.74 | $42.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.88 / $14.88 / $14.88
| Professional | | $14.88 | $14.88 | $14.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $34.72 / $34.72
| Facility | | $21.38 | $34.72 | $34.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $34.72 / $34.72
| Professional | | $21.38 | $34.72 | $34.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.25 / $18.20 / $31.60
| Professional | | $14.25 | $18.20 | $31.60 |