- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $13.65 / $21.68
| Facility | | $13.65 | $13.65 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $17.07 / $22.26
| Professional | | $12.12 | $17.07 | $22.26 |
- 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
- $27.84 / $27.84 / $27.84
| Professional | | $27.84 | $27.84 | $27.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $32.63 / $32.63
| Facility | | $32.63 | $32.63 | $32.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.22 / $14.22 / $14.22
| Professional | | $14.22 | $14.22 | $14.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.23 / $37.70 / $40.36
| Professional | | $29.23 | $37.70 | $40.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.20 / $72.77 / $133.66
| Facility | | $49.20 | $72.77 | $133.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.88 / $20.88 / $20.88
| Professional | | $20.88 | $20.88 | $20.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $13.65 / $21.68
| Facility | | $13.65 | $13.65 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.99 / $17.07 / $26.33
| Professional | | $12.99 | $17.07 | $26.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.80 / $39.70 / $54.90
| Professional | | $20.80 | $39.70 | $54.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $32.63 / $32.63
| Facility | | $32.63 | $32.63 | $32.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.22 / $14.22 / $14.22
| Professional | | $14.22 | $14.22 | $14.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.89 / $20.92 / $26.50
| Facility | | $19.89 | $20.92 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.89 / $26.50 / $26.50
| Professional | | $19.89 | $26.50 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.91 / $13.94 / $23.15
| Professional | | $10.91 | $13.94 | $23.15 |