- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.73 / $58.08 / $568.69
| Facility | | $31.73 | $58.08 | $568.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.16 / $37.18 / $70.81
| Professional | | $28.16 | $37.18 | $70.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.97 / $51.06 / $132.24
| Professional | | $33.97 | $51.06 | $132.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.61 / $187.61 / $187.61
| Facility | | $187.61 | $187.61 | $187.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.88 / $47.80 / $86.03
| Professional | | $30.88 | $47.80 | $86.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.32 / $49.67 / $50.94
| Professional | | $37.32 | $49.67 | $50.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.52 / $323.36 / $745.27
| Facility | | $69.52 | $323.36 | $745.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.74 / $59.99 / $568.69
| Facility | | $31.74 | $59.99 | $568.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.70 / $40.90 / $94.26
| Professional | | $29.70 | $40.90 | $94.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.90 / $97.50 / $130.80
| Professional | | $58.90 | $97.50 | $130.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.61 / $187.61 / $187.61
| Facility | | $187.61 | $187.61 | $187.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.61 / $48.99 / $86.58
| Professional | | $32.61 | $48.99 | $86.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.83 / $31.83 / $79.50
| Facility | | $31.83 | $31.83 | $79.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.31 / $31.83 / $79.50
| Professional | | $31.31 | $31.83 | $79.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.90 / $41.15 / $69.06
| Professional | | $26.90 | $41.15 | $69.06 |