- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.92 / $114.73 / $364.21
| Facility | | $81.92 | $114.73 | $364.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.11 / $90.03 / $367.00
| Professional | | $84.11 | $90.03 | $367.00 |
- 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
- $90.76 / $94.18 / $159.35
| Professional | | $90.76 | $94.18 | $159.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.35 / $103.37 / $103.37
| Facility | | $94.35 | $103.37 | $103.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.62 / $118.08 / $209.69
| Professional | | $85.62 | $118.08 | $209.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.14 / $124.49 / $187.23
| Professional | | $105.14 | $124.49 | $187.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.16 / $170.24 / $483.77
| Facility | | $112.16 | $170.24 | $483.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.01 / $127.61 / $419.43
| Facility | | $88.01 | $127.61 | $419.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.54 / $98.11 / $401.00
| Professional | | $84.54 | $98.11 | $401.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.07 / $142.40 / $235.70
| Professional | | $87.07 | $142.40 | $235.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.35 / $103.37 / $138.11
| Facility | | $94.35 | $103.37 | $138.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.62 / $118.05 / $209.98
| Professional | | $85.62 | $118.05 | $209.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.28 / $89.28 / $129.12
| Facility | | $89.28 | $89.28 | $129.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.49 / $89.28 / $129.12
| Professional | | $87.49 | $89.28 | $129.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.73 / $99.95 / $175.36
| Professional | | $70.73 | $99.95 | $175.36 |