- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.28 / $84.85 / $15,569.28
| Facility | | $36.28 | $84.85 | $15,569.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $36.64 / $46.51
| Professional | | $36.28 | $36.64 | $46.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.60 / $39.36 / $8,459.92
| Facility | | $33.60 | $39.36 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.64 / $37.64 / $37.64
| Professional | | $37.64 | $37.64 | $37.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.22 / $36.28 / $36.28
| Facility | | $34.22 | $36.28 | $36.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $36.28 / $37.64
| Professional | | $36.28 | $36.28 | $37.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.64 / $39.36 / $45.38
| Professional | | $37.64 | $39.36 | $45.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.69 / $39.69 / $40.11
| Professional | | $39.69 | $39.69 | $40.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.61 / $61.89 / $15,569.28
| Facility | | $36.61 | $61.89 | $15,569.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $37.00 / $89.20
| Professional | | $36.28 | $37.00 | $89.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $55.47 / $70.30
| Professional | | $27.40 | $55.47 | $70.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.22 / $36.28 / $36.28
| Facility | | $34.22 | $36.28 | $36.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $36.28 / $38.68
| Professional | | $36.28 | $36.28 | $38.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.58 / $32.58 / $37.81
| Facility | | $32.58 | $32.58 | $37.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.58 / $32.58 / $37.81
| Professional | | $32.58 | $32.58 | $37.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.28 / $38.46 / $50.10
| Professional | | $36.28 | $38.46 | $50.10 |