- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.30 / $73.63 / $16,488.66
| Facility | | $30.30 | $73.63 | $16,488.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $30.28 / $13,860.00
| Professional | | $29.98 | $30.28 | $13,860.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.76 / $32.52 / $8,459.92
| Facility | | $27.76 | $32.52 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.11 / $31.11 / $31.11
| Professional | | $31.11 | $31.11 | $31.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.28 / $29.98 / $29.98
| Facility | | $28.28 | $29.98 | $29.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $29.98 / $31.11
| Professional | | $29.98 | $29.98 | $31.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $29.98 / $37.50
| Professional | | $29.98 | $29.98 | $37.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.24 / $75.56 / $109.03
| Facility | | $25.24 | $75.56 | $109.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.61 / $33.35 / $33.35
| Professional | | $32.61 | $33.35 | $33.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.30 / $70.20 / $17,490.00
| Facility | | $30.30 | $70.20 | $17,490.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $30.90 / $17,959.80
| Professional | | $29.98 | $30.90 | $17,959.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $45.50 / $55.40
| Professional | | $27.40 | $45.50 | $55.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.28 / $29.98 / $29.98
| Facility | | $28.28 | $29.98 | $29.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $29.98 / $31.20
| Professional | | $29.98 | $29.98 | $31.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $25.72 / $29.84
| Facility | | $25.72 | $25.72 | $29.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.72 / $25.72 / $29.84
| Professional | | $25.72 | $25.72 | $29.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $31.78 / $42.36
| Professional | | $29.98 | $31.78 | $42.36 |