- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.91 / $81.05 / $20,192.90
| Facility | | $29.91 | $81.05 | $20,192.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $30.81
| Professional | | $29.91 | $29.91 | $30.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.42 / $29.91 / $44.87
| Facility | | $25.42 | $29.91 | $44.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $29.91
| Professional | | $29.91 | $29.91 | $29.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $29.91
| Facility | | $29.91 | $29.91 | $29.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $29.91
| Professional | | $29.91 | $29.91 | $29.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.63 / $31.04 / $38.21
| Professional | | $29.63 | $31.04 | $38.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.41 / $65.67 / $198.34
| Facility | | $47.41 | $65.67 | $198.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.00 / $81.05 / $61,137.54
| Facility | | $31.00 | $81.05 | $61,137.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $36.89
| Professional | | $29.91 | $29.91 | $36.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.22 / $29.91 / $29.91
| Facility | | $28.22 | $29.91 | $29.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $29.91
| Professional | | $29.91 | $29.91 | $29.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.68 / $30.68 / $35.60
| Facility | | $30.68 | $30.68 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.68 / $30.68 / $35.60
| Professional | | $30.68 | $30.68 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.56 / $29.91 / $39.03
| Professional | | $28.56 | $29.91 | $39.03 |