- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $39.81 / $52.48
| Facility | | $28.84 | $39.81 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $30.20 / $46.77
| Professional | | $19.95 | $30.20 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $16.60 / $52.48
| Professional | | $13.80 | $16.60 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $35.48 / $35.48
| Facility | | $33.11 | $35.48 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $35.48
| Professional | | $35.48 | $35.48 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $67.61 / $50,118.72
| Facility | | $67.61 | $67.61 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $42.66
| Professional | | $17.38 | $17.38 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $72.44 / $165.96
| Facility | | $43.65 | $72.44 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $63.10 / $87.10
| Professional | | $43.65 | $63.10 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $40.74 / $40.74
| Facility | | $40.74 | $40.74 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $42.66 / $42.66
| Professional | | $39.81 | $42.66 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $41.69 / $41.69
| Professional | | $28.18 | $41.69 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $21.38 / $38.90
| Professional | | $14.13 | $21.38 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $40.74 / $43.65
| Facility | | $39.81 | $40.74 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $40.74 / $42.66
| Professional | | $39.81 | $40.74 | $42.66 |