- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.37 / $183.62 / $18,718.43
| Facility | | $78.37 | $183.62 | $18,718.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.37 / $79.15 / $107.62
| Professional | | $78.37 | $79.15 | $107.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.47 / $78.47 / $78.47
| Professional | | $78.47 | $78.47 | $78.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.58 / $85.02 / $8,459.92
| Facility | | $72.58 | $85.02 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.33 / $81.33 / $81.33
| Professional | | $81.33 | $81.33 | $81.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.93 / $78.37 / $78.37
| Facility | | $73.93 | $78.37 | $78.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.37 / $78.37 / $81.33
| Professional | | $78.37 | $78.37 | $81.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.31 / $81.33 / $100.38
| Professional | | $81.31 | $81.33 | $100.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.81 / $166.81 / $299.58
| Facility | | $166.81 | $166.81 | $299.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.25 / $166.36 / $14,713.23
| Facility | | $79.25 | $166.36 | $14,713.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.37 / $79.25 / $168.44
| Professional | | $78.37 | $79.25 | $168.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $95.30 / $152.10
| Professional | | $27.40 | $95.30 | $152.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.93 / $78.37 / $78.37
| Facility | | $73.93 | $78.37 | $78.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.37 / $78.37 / $83.71
| Professional | | $78.37 | $78.37 | $83.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.34 / $70.34 / $81.64
| Facility | | $70.34 | $70.34 | $81.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.34 / $70.34 / $81.64
| Professional | | $70.34 | $70.34 | $81.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.37 / $83.07 / $105.80
| Professional | | $78.37 | $83.07 | $105.80 |