- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $55.44 / $119.78
| Facility | | $15.27 | $55.44 | $119.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $15.27 / $18.48
| Professional | | $10.32 | $15.27 | $18.48 |
- 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
- $12.28 / $12.28 / $12.28
| Professional | | $12.28 | $12.28 | $12.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $21.25 / $61.94
| Facility | | $0.56 | $21.25 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $10.19 / $27.97
| Professional | | $4.50 | $10.19 | $27.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.80 / $24.80 / $24.80
| Facility | | $24.80 | $24.80 | $24.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $12.40 / $19.96
| Professional | | $8.27 | $12.40 | $19.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.19 / $107.19 / $107.19
| Facility | | $107.19 | $107.19 | $107.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $51.61 / $119.78
| Facility | | $20.32 | $51.61 | $119.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.64 / $15.27 / $22.91
| Professional | | $11.64 | $15.27 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $22.40 / $22.40
| Professional | | $19.60 | $22.40 | $22.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $21.25 / $61.94
| Facility | | $0.68 | $21.25 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $10.49 / $26.62
| Professional | | $4.50 | $10.49 | $26.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $12.89 / $12.89
| Facility | | $12.89 | $12.89 | $12.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $12.89 / $12.89
| Professional | | $12.89 | $12.89 | $12.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $9.32 / $20.42
| Professional | | $4.51 | $9.32 | $20.42 |