- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.96 / $65.15 / $53,453.13
| Facility | | $32.96 | $65.15 | $53,453.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $32.96 / $47.79
| Professional | | $32.96 | $32.96 | $47.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.55 / $88.33 / $164.80
| Facility | | $29.55 | $88.33 | $164.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $33.76 / $1,942.31
| Professional | | $32.96 | $33.76 | $1,942.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.33 / $40.47 / $78.64
| Facility | | $35.33 | $40.47 | $78.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.45 / $54.22 / $68.45
| Professional | | $36.45 | $54.22 | $68.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.29 / $32.96 / $32.96
| Facility | | $32.29 | $32.96 | $32.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $32.96 / $32.96
| Professional | | $32.96 | $32.96 | $32.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.65 / $66.00 / $8,090.00
| Facility | | $33.65 | $66.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.56 / $21.56 / $32.96
| Professional | | $21.56 | $21.56 | $32.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $32.96 / $38.15
| Professional | | $32.96 | $32.96 | $38.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $633.21 / $8,020.28 / $40,513.56
| Facility | | $633.21 | $8,020.28 | $40,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $164.80 / $164.80
| Facility | | $75.00 | $164.80 | $164.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $34.94 / $1,942.31
| Professional | | $32.96 | $34.94 | $1,942.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.56 / $34.35 / $52.13
| Facility | | $21.56 | $34.35 | $52.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.96 / $32.96 / $32.96
| Facility | | $32.96 | $32.96 | $32.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.96 / $33.76 / $42.69
| Professional | | $32.96 | $33.76 | $42.69 |