- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.10 / $118.69 / $182.54
| Facility | | $37.10 | $118.69 | $182.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.47 / $35.93 / $280.67
| Professional | | $34.47 | $35.93 | $280.67 |
- 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
- $34.04 / $34.04 / $34.04
| Professional | | $34.04 | $34.04 | $34.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.42 / $64.33 / $144.52
| Facility | | $41.42 | $64.33 | $144.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.99 / $46.69 / $98.50
| Professional | | $22.99 | $46.69 | $98.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.98 / $58.93 / $82.94
| Professional | | $25.98 | $58.93 | $82.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.78 / $176.80 / $252.80
| Facility | | $105.78 | $176.80 | $252.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.11 / $123.91 / $182.54
| Facility | | $37.11 | $123.91 | $182.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.74 / $40.39 / $180.28
| Professional | | $32.74 | $40.39 | $180.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.59 / $65.47 / $87.30
| Professional | | $64.59 | $65.47 | $87.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.50 / $72.61 / $144.52
| Facility | | $42.50 | $72.61 | $144.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $50.54 / $98.50
| Professional | | $25.81 | $50.54 | $98.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $66.00
| Facility | | $43.65 | $43.65 | $66.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $66.00
| Professional | | $43.65 | $43.65 | $66.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $26.80 / $68.83
| Professional | | $18.32 | $26.80 | $68.83 |