- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.72 / $70.13 / $1,025.46
| Facility | | $34.72 | $70.13 | $1,025.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.77 / $38.22 / $50.61
| Professional | | $32.77 | $38.22 | $50.61 |
- 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
- $38.59 / $40.04 / $70.97
| Professional | | $38.59 | $40.04 | $70.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.05 / $963.41 / $1,692.36
| Facility | | $327.05 | $963.41 | $1,692.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $50.68 / $79.63
| Professional | | $30.98 | $50.68 | $79.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.96 / $55.96 / $62.62
| Professional | | $55.96 | $55.96 | $62.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.31 / $75.38 / $388.43
| Facility | | $40.31 | $75.38 | $388.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $40.31 / $151.40
| Professional | | $34.72 | $40.31 | $151.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.05 / $916.23 / $1,645.13
| Facility | | $327.05 | $916.23 | $1,645.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.58 / $51.14 / $81.33
| Professional | | $31.58 | $51.14 | $81.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.70 / $37.70 / $44.70
| Facility | | $37.70 | $37.70 | $44.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.11 / $37.70 / $44.70
| Professional | | $37.11 | $37.70 | $44.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.08 / $44.83 / $71.92
| Professional | | $35.08 | $44.83 | $71.92 |