- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.30 / $71.89 / $59,723.34
| Facility | | $55.30 | $71.89 | $59,723.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $63.60
| Professional | | $55.47 | $55.47 | $63.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.38 / $44.38 / $55.47
| Facility | | $44.38 | $44.38 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.53 / $55.47 / $55.47
| Professional | | $49.53 | $55.47 | $55.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.33 / $52.33 / $55.47
| Facility | | $52.33 | $52.33 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $55.47
| Professional | | $55.47 | $55.47 | $55.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.47 / $83.21 / $332.00
| Facility | | $55.47 | $83.21 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $67.67
| Professional | | $55.47 | $55.47 | $67.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $56.52
| Facility | | $55.47 | $55.47 | $56.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $56.52 / $56.52
| Professional | | $55.47 | $56.52 | $56.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.33 / $54.38 / $555.00
| Facility | | $52.33 | $54.38 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $63.72
| Professional | | $55.47 | $55.47 | $63.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $55.47
| Facility | | $55.47 | $55.47 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.70 / $58.24 / $74.73
| Professional | | $52.70 | $58.24 | $74.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.52 / $56.52 / $56.52
| Facility | | $56.52 | $56.52 | $56.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $56.52 / $56.52
| Professional | | $55.47 | $56.52 | $56.52 |