- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $93.33 / $18,197.01
| Facility | | $30.20 | $93.33 | $18,197.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.90 / $5,623.41
| Professional | | $30.20 | $30.90 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $77.62 / $104.71
| Facility | | $34.67 | $77.62 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $42.66 / $87.10
| Professional | | $31.62 | $42.66 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $60.26
| Facility | | $30.20 | $30.20 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Facility | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Professional | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $58.88 / $8,511.38
| Facility | | $30.20 | $58.88 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $58.88
| Professional | | $50.12 | $50.12 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $67.61
| Professional | | $31.62 | $31.62 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,090.30 / $23,988.33
| Facility | | $1,071.52 | $3,090.30 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $77.62 / $104.71
| Facility | | $34.67 | $77.62 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $42.66 / $87.10
| Professional | | $31.62 | $42.66 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $53.70 / $524.81
| Facility | | $41.69 | $53.70 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $34.67 / $74.13
| Facility | | $30.20 | $34.67 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $42.66 / $87.10
| Professional | | $30.20 | $42.66 | $87.10 |