- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $53.70 / $58,884.37
| Facility | | $52.48 | $53.70 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $52.48
| Professional | | $52.48 | $52.48 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $316.23 / $354.81
| Facility | | $269.15 | $316.23 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.03
| Professional | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $64.57 / $128.82
| Facility | | $54.95 | $64.57 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $131.83 / $331.13
| Facility | | $42.66 | $131.83 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $89.13 / $128.82
| Professional | | $52.48 | $89.13 | $128.82 |