- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.41 / $25.41 / $40.35
| Facility | | $25.41 | $25.41 | $40.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.51 / $31.77 / $40.35
| Professional | | $22.51 | $31.77 | $40.35 |
- 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
- $47.78 / $47.78 / $47.78
| Professional | | $47.78 | $47.78 | $47.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.82 / $55.82 / $55.82
| Facility | | $55.82 | $55.82 | $55.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.69 / $28.69 / $28.69
| Professional | | $28.69 | $28.69 | $28.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.17 / $64.69 / $69.28
| Professional | | $50.17 | $64.69 | $69.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.93 / $144.93 / $144.93
| Facility | | $144.93 | $144.93 | $144.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.41 / $25.41 / $40.35
| Facility | | $25.41 | $25.41 | $40.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.05 / $31.77 / $43.09
| Professional | | $22.05 | $31.77 | $43.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,042.19 / $2,038.31 / $2,593.29
| Facility | | $1,042.19 | $2,038.31 | $2,593.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.50 / $81.00 / $102.10
| Professional | | $20.50 | $81.00 | $102.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.82 / $55.82 / $55.82
| Facility | | $55.82 | $55.82 | $55.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.69 / $28.69 / $28.69
| Professional | | $28.69 | $28.69 | $28.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.46 / $49.45 / $49.45
| Facility | | $43.46 | $49.45 | $49.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.46 / $48.85 / $49.45
| Professional | | $43.46 | $48.85 | $49.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.07 / $28.01 / $53.59
| Professional | | $21.07 | $28.01 | $53.59 |