- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.03 / $85.78 / $32,436.09
| Facility | | $37.03 | $85.78 | $32,436.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $36.74 / $47.03
| Professional | | $36.74 | $36.74 | $47.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $36.74 / $36.74
| Professional | | $36.74 | $36.74 | $36.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.03 / $39.86 / $8,459.92
| Facility | | $34.03 | $39.86 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.13 / $38.13 / $38.13
| Professional | | $38.13 | $38.13 | $38.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.65 / $36.74 / $36.74
| Facility | | $34.65 | $36.74 | $36.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $36.74 / $38.13
| Professional | | $36.74 | $36.74 | $38.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.13 / $38.13 / $45.96
| Professional | | $38.13 | $38.13 | $45.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.15 / $82.50 / $107.28
| Facility | | $36.15 | $82.50 | $107.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.03 / $79.92 / $19,337.40
| Facility | | $37.03 | $79.92 | $19,337.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $37.11 / $111.45
| Professional | | $36.74 | $37.11 | $111.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $55.11 / $67.90
| Professional | | $27.40 | $55.11 | $67.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.65 / $36.74 / $36.74
| Facility | | $34.65 | $36.74 | $36.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $36.74 / $39.59
| Professional | | $36.74 | $36.74 | $39.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.57 / $32.57 / $37.79
| Facility | | $32.57 | $32.57 | $37.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.57 / $32.57 / $37.79
| Professional | | $32.57 | $32.57 | $37.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.74 / $38.94 / $47.95
| Professional | | $36.74 | $38.94 | $47.95 |