- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.73 / $83.62 / $393.78
| Facility | | $19.73 | $83.62 | $393.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $19.73 / $23.89
| Professional | | $13.24 | $19.73 | $23.89 |
- 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
- $18.35 / $18.35 / $18.35
| Professional | | $18.35 | $18.35 | $18.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.72 / $27.59 / $80.41
| Facility | | $0.72 | $27.59 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $14.01 / $36.31
| Professional | | $7.36 | $14.01 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.36 / $47.36 / $47.36
| Facility | | $47.36 | $47.36 | $47.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $19.84 / $38.11
| Professional | | $15.79 | $19.84 | $38.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.02 / $341.49 / $415.59
| Facility | | $301.02 | $341.49 | $415.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.23 / $72.28 / $405.60
| Facility | | $28.23 | $72.28 | $405.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.11 / $19.73 / $31.92
| Professional | | $15.11 | $19.73 | $31.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.50 / $75.20 / $75.20
| Professional | | $25.50 | $75.20 | $75.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.89 / $27.59 / $80.41
| Facility | | $0.89 | $27.59 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $14.26 / $34.50
| Professional | | $7.36 | $14.26 | $34.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.32 / $19.32 / $19.91
| Facility | | $19.32 | $19.32 | $19.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $19.32 / $19.91
| Professional | | $19.32 | $19.32 | $19.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $12.10 / $27.00
| Professional | | $6.69 | $12.10 | $27.00 |