- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.37 / $79.00 / $120.80
| Facility | | $22.37 | $79.00 | $120.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $22.37 / $27.08
| Professional | | $15.09 | $22.37 | $27.08 |
- 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
- $24.55 / $24.55 / $24.55
| Professional | | $24.55 | $24.55 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.83 / $31.32 / $91.27
| Facility | | $0.83 | $31.32 | $91.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $15.10 / $41.21
| Professional | | $7.70 | $15.10 | $41.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.08 / $36.08 / $36.08
| Facility | | $36.08 | $36.08 | $36.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $18.04 / $29.03
| Professional | | $12.03 | $18.04 | $29.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $79.52 / $103.40
| Facility | | $51.29 | $79.52 | $103.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.49 / $78.30 / $136.50
| Facility | | $30.49 | $78.30 | $136.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.14 / $22.37 / $33.56
| Professional | | $17.14 | $22.37 | $33.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.70 / $119.20 / $119.20
| Professional | | $28.70 | $119.20 | $119.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $31.32 / $91.27
| Facility | | $1.02 | $31.32 | $91.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $15.46 / $38.94
| Professional | | $7.70 | $15.46 | $38.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.49 / $24.49 / $25.22
| Facility | | $24.49 | $24.49 | $25.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.49 / $24.49 / $25.22
| Professional | | $24.49 | $24.49 | $25.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $13.74 / $30.91
| Professional | | $6.90 | $13.74 | $30.91 |