- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.85 / $129.40 / $168.11
| Facility | | $55.85 | $129.40 | $168.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $61.02
| Professional | | $55.47 | $55.47 | $61.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.38 / $60.18 / $8,459.92
| Facility | | $51.38 | $60.18 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.57 / $57.57 / $57.57
| Professional | | $57.57 | $57.57 | $57.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.33 / $55.47 / $55.47
| Facility | | $52.33 | $55.47 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $57.57
| Professional | | $55.47 | $55.47 | $57.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $69.39
| Professional | | $55.47 | $55.47 | $69.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.16 / $146.16 / $146.16
| Facility | | $146.16 | $146.16 | $146.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.85 / $117.24 / $20,940.00
| Facility | | $55.85 | $117.24 | $20,940.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.85 / $94.39
| Professional | | $55.47 | $55.85 | $94.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $27.40 / $83.21
| Professional | | $27.40 | $27.40 | $83.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.33 / $55.47 / $55.47
| Facility | | $52.33 | $55.47 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.47 / $55.47 / $58.71
| Professional | | $55.47 | $55.47 | $58.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.08 / $48.08 / $55.79
| Facility | | $48.08 | $48.08 | $55.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.08 / $48.08 / $55.79
| Professional | | $48.08 | $48.08 | $55.79 |
- 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
- $55.47 / $58.80 / $74.88
| Professional | | $55.47 | $58.80 | $74.88 |