- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.03 / $44.89 / $45.75
| Facility | | $44.03 | $44.89 | $45.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.44 / $45.75 / $74.23
| Professional | | $41.44 | $45.75 | $74.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.00 / $70.00 / $70.00
| Professional | | $70.00 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.92 / $46.92 / $60.00
| Professional | | $46.92 | $46.92 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.59 / $98.59 / $98.59
| Facility | | $98.59 | $98.59 | $98.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.58 / $66.58 / $66.58
| Facility | | $66.58 | $66.58 | $66.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.60 / $48.60 / $66.58
| Professional | | $48.60 | $48.60 | $66.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.79 / $456.72 / $456.72
| Facility | | $164.79 | $456.72 | $456.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $493.67 / $493.67 / $717.90
| Professional | | $493.67 | $493.67 | $717.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.22 / $65.87 / $98.59
| Facility | | $28.22 | $65.87 | $98.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.22 / $88.73 / $98.59
| Professional | | $28.22 | $88.73 | $98.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.42 / $100.56 / $221.83
| Professional | | $75.42 | $100.56 | $221.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.22 / $65.87 / $98.59
| Facility | | $28.22 | $65.87 | $98.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.60 / $48.60 / $70.98
| Professional | | $48.60 | $48.60 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.43 / $52.67 / $62.70
| Professional | | $36.43 | $52.67 | $62.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.49 / $52.55 / $98.59
| Professional | | $52.49 | $52.55 | $98.59 |