- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.96 / $126.80 / $14,702.18
| Facility | | $48.96 | $126.80 | $14,702.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.96 / $49.45 / $110.54
| Professional | | $48.96 | $49.45 | $110.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.15 / $53.12 / $8,639.91
| Facility | | $45.15 | $53.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.81 / $50.81 / $53.12
| Professional | | $50.81 | $50.81 | $53.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.19 / $48.96 / $48.96
| Facility | | $46.19 | $48.96 | $48.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.96 / $48.96 / $48.96
| Professional | | $48.96 | $48.96 | $48.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.60 / $59.36 / $383.40
| Facility | | $58.60 | $59.36 | $383.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.51 / $146.01 / $13,648.80
| Facility | | $48.51 | $146.01 | $13,648.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.51 / $53.56 / $146.01
| Professional | | $48.51 | $53.56 | $146.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,616.42 / $3,962.75 / $5,659.97
| Facility | | $2,616.42 | $3,962.75 | $5,659.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.19 / $48.96 / $48.96
| Facility | | $46.19 | $48.96 | $48.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.96 / $48.96 / $48.96
| Professional | | $48.96 | $48.96 | $48.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.80 / $47.80 / $55.46
| Facility | | $47.80 | $47.80 | $55.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.80 / $47.80 / $55.46
| Professional | | $47.80 | $47.80 | $55.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.96 / $54.84 / $87.80
| Professional | | $48.96 | $54.84 | $87.80 |