- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.46 / $126.17 / $300.06
| Facility | | $62.46 | $126.17 | $300.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.90 / $68.20 / $167.68
| Professional | | $60.90 | $68.20 | $167.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.59 / $70.59 / $70.59
| Professional | | $70.59 | $70.59 | $70.59 |
- 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
- $70.63 / $73.29 / $139.71
| Professional | | $70.63 | $73.29 | $139.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.42 / $82.34 / $269.26
| Facility | | $80.42 | $82.34 | $269.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.98 / $87.03 / $138.43
| Professional | | $56.98 | $87.03 | $138.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.37 / $90.18 / $105.60
| Professional | | $76.37 | $90.18 | $105.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.56 / $103.07 / $130.13
| Professional | | $72.56 | $103.07 | $130.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.53 / $194.16 / $317.00
| Facility | | $69.53 | $194.16 | $317.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.28 / $79.84 / $205.57
| Professional | | $62.28 | $79.84 | $205.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.70 / $108.08 / $144.10
| Professional | | $90.70 | $108.08 | $144.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.42 / $82.34 / $269.26
| Facility | | $80.42 | $82.34 | $269.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.68 / $87.03 / $138.83
| Professional | | $60.68 | $87.03 | $138.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.27 / $69.27 / $69.27
| Facility | | $69.27 | $69.27 | $69.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.59 / $69.27 / $72.37
| Professional | | $67.59 | $69.27 | $72.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.81 / $80.98 / $134.55
| Professional | | $64.81 | $80.98 | $134.55 |