- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.85 / $120.48 / $275.11
| Facility | | $85.85 | $120.48 | $275.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.66 / $87.17 / $264.05
| Professional | | $71.66 | $87.17 | $264.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $57,255.43 / $79,506.39
| Facility | | $5,000.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.72 / $87.91 / $153.91
| Professional | | $74.72 | $87.91 | $153.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $75.00 / $95.00
| Facility | | $65.00 | $75.00 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.94 / $94.45 / $141.91
| Professional | | $54.94 | $94.45 | $141.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.83 / $110.00 / $127.56
| Professional | | $93.83 | $110.00 | $127.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.37 / $202.40 / $345.88
| Facility | | $163.37 | $202.40 | $345.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.85 / $120.67 / $350.72
| Facility | | $85.85 | $120.67 | $350.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.43 / $90.92 / $296.00
| Professional | | $78.43 | $90.92 | $296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.41 / $133.72 / $168.25
| Facility | | $129.41 | $133.72 | $168.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.09 / $98.40 / $217.80
| Professional | | $81.09 | $98.40 | $217.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $75.00 / $95.00
| Facility | | $65.00 | $75.00 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.94 / $94.45 / $138.72
| Professional | | $67.94 | $94.45 | $138.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.82 / $75.66 / $83.00
| Facility | | $63.82 | $75.66 | $83.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.82 / $83.00 / $87.32
| Professional | | $63.82 | $83.00 | $87.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.92 / $89.50 / $162.83
| Professional | | $71.92 | $89.50 | $162.83 |