- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.00 / $42.00 / $53.34
| Facility | | $42.00 | $42.00 | $53.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.71 / $42.00 / $42.00
| Professional | | $33.71 | $42.00 | $42.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.40 / $37.40 / $37.40
| Professional | | $37.40 | $37.40 | $37.40 |
- 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
- $31.80 / $33.00 / $33.00
| Professional | | $31.80 | $33.00 | $33.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.23 / $62.23 / $62.23
| Facility | | $62.23 | $62.23 | $62.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.75 / $39.75 / $39.75
| Professional | | $39.75 | $39.75 | $39.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.09 / $72.33 / $77.45
| Professional | | $56.09 | $72.33 | $77.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.00 / $36.00 / $36.00
| Professional | | $36.00 | $36.00 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.00 / $42.00 / $53.34
| Facility | | $42.00 | $42.00 | $53.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.00 / $42.00 / $53.34
| Professional | | $42.00 | $42.00 | $53.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.40 / $54.40 / $54.40
| Professional | | $54.40 | $54.40 | $54.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.23 / $62.23 / $62.23
| Facility | | $62.23 | $62.23 | $62.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.75 / $39.75 / $39.75
| Professional | | $39.75 | $39.75 | $39.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.25 / $34.25 / $34.27
| Facility | | $34.25 | $34.25 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.25 / $34.25 / $34.27
| Professional | | $34.25 | $34.25 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.12 / $31.43 / $62.23
| Professional | | $31.12 | $31.43 | $62.23 |