- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.75 / $132.13 / $194.87
| Facility | | $37.75 | $132.13 | $194.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.22 / $38.21 / $299.64
| Professional | | $35.22 | $38.21 | $299.64 |
- 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
- $36.35 / $36.35 / $36.35
| Professional | | $36.35 | $36.35 | $36.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.22 / $68.69 / $154.30
| Facility | | $44.22 | $68.69 | $154.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.52 / $49.94 / $105.16
| Professional | | $24.52 | $49.94 | $105.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.73 / $62.91 / $120.02
| Professional | | $27.73 | $62.91 | $120.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.00 / $152.00 / $152.00
| Facility | | $152.00 | $152.00 | $152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.75 / $132.13 / $192.46
| Facility | | $37.75 | $132.13 | $192.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.95 / $39.61 / $192.46
| Professional | | $34.95 | $39.61 | $192.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.97 / $69.90 / $93.20
| Professional | | $68.97 | $69.90 | $93.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.34 / $77.53 / $154.30
| Facility | | $45.34 | $77.53 | $154.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.34 / $52.79 / $105.16
| Professional | | $25.34 | $52.79 | $105.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.60 / $46.60 / $64.72
| Facility | | $46.60 | $46.60 | $64.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.60 / $46.60 / $64.72
| Professional | | $46.60 | $46.60 | $64.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.57 / $27.96 / $85.28
| Professional | | $19.57 | $27.96 | $85.28 |