- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.30 / $103.18 / $412.50
| Facility | | $29.30 | $103.18 | $412.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $16.41 / $29.31
| Professional | | $3.33 | $16.41 | $29.31 |
- 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
- $26.45 / $26.45 / $26.45
| Professional | | $26.45 | $26.45 | $26.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $32.25 / $98.88
| Facility | | $1.09 | $32.25 | $98.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $26.85 / $35.79
| Professional | | $9.94 | $26.85 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $12.67 / $29.08
| Professional | | $9.88 | $12.67 | $29.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.67 / $85.14 / $386.14
| Facility | | $45.67 | $85.14 | $386.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.24 / $84.77 / $405.60
| Facility | | $32.24 | $84.77 | $405.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $22.40 / $36.33
| Professional | | $3.46 | $22.40 | $36.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $32.25 / $98.88
| Facility | | $1.09 | $32.25 | $98.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $26.85 / $35.79
| Professional | | $9.94 | $26.85 | $35.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.42 / $26.42 / $26.42
| Facility | | $26.42 | $26.42 | $26.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.42 / $26.42 / $27.21
| Professional | | $26.42 | $26.42 | $27.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $18.46 / $37.31
| Professional | | $7.51 | $18.46 | $37.31 |