- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.85 / $138.60 / $878.50
| Facility | | $26.85 | $138.60 | $878.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $26.85 / $32.49
| Professional | | $18.27 | $26.85 | $32.49 |
- 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
- $29.95 / $29.95 / $29.95
| Professional | | $29.95 | $29.95 | $29.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.99 / $37.65 / $109.75
| Facility | | $0.99 | $37.65 | $109.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $18.68 / $49.55
| Professional | | $9.71 | $18.68 | $49.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.55 / $22.55 / $22.55
| Facility | | $22.55 | $22.55 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $11.28 / $20.41
| Professional | | $7.52 | $11.28 | $20.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $37.17 / $54.87
| Facility | | $25.72 | $37.17 | $54.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.74 / $97.50 / $877.80
| Facility | | $35.74 | $97.50 | $877.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $26.85 / $40.28
| Professional | | $18.27 | $26.85 | $40.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.60 / $92.00 / $92.00
| Professional | | $34.60 | $92.00 | $92.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $37.65 / $109.75
| Facility | | $1.22 | $37.65 | $109.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $18.80 / $46.83
| Professional | | $9.71 | $18.80 | $46.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.57 / $31.57 / $32.52
| Facility | | $31.57 | $31.57 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.57 / $31.57 / $32.52
| Professional | | $31.57 | $31.57 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $17.70 / $37.15
| Professional | | $9.61 | $17.70 | $37.15 |