- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.38 / $196.74 / $196.74
| Facility | | $38.38 | $196.74 | $196.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.83 / $38.38 / $94.41
| Professional | | $33.83 | $38.38 | $94.41 |
- 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
- $36.42 / $37.79 / $71.20
| Professional | | $36.42 | $37.79 | $71.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.88 / $41.38 / $41.38
| Facility | | $36.88 | $41.38 | $41.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.08 / $46.36 / $70.44
| Professional | | $36.08 | $46.36 | $70.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.39 / $52.96 / $74.54
| Professional | | $41.39 | $52.96 | $74.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.38 / $196.74 / $1,812.00
| Facility | | $38.38 | $196.74 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.49 / $40.67 / $100.07
| Professional | | $34.49 | $40.67 | $100.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.90 / $42.50 / $73.76
| Professional | | $35.90 | $42.50 | $73.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.88 / $41.38 / $43.52
| Facility | | $36.88 | $41.38 | $43.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.13 / $46.52 / $73.39
| Professional | | $35.13 | $46.52 | $73.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.04 / $36.04 / $38.03
| Facility | | $36.04 | $36.04 | $38.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.15 / $36.04 / $38.03
| Professional | | $35.15 | $36.04 | $38.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.42 / $43.91 / $73.00
| Professional | | $34.42 | $43.91 | $73.00 |