- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.76 / $30.02 / $1,359.00
| Facility | | $25.76 | $30.02 | $1,359.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $28.83 / $151.13
| Professional | | $25.45 | $28.83 | $151.13 |
- 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
- $249.90 / $294.00 / $294.00
| Professional | | $249.90 | $294.00 | $294.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.19 / $33.19 / $33.19
| Facility | | $33.19 | $33.19 | $33.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.05 / $35.08 / $53.66
| Professional | | $27.05 | $35.08 | $53.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.23 / $68.23 / $68.23
| Facility | | $68.23 | $68.23 | $68.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.77 / $44.42 / $62.99
| Professional | | $32.77 | $44.42 | $62.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.62 / $24.62 / $24.62
| Facility | | $24.62 | $24.62 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.02 / $30.02 / $1,812.00
| Facility | | $30.02 | $30.02 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $28.47 / $151.13
| Professional | | $25.45 | $28.47 | $151.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.00 / $25.00 / $25.00
| Facility | | $25.00 | $25.00 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.00 / $25.00 / $64.47
| Professional | | $25.00 | $25.00 | $64.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.19 / $33.19 / $33.19
| Facility | | $33.19 | $33.19 | $33.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.85 / $33.99 / $52.47
| Professional | | $26.85 | $33.99 | $52.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.72 / $29.72 / $38.47
| Professional | | $29.72 | $29.72 | $38.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.61 / $30.10 / $52.70
| Professional | | $23.61 | $30.10 | $52.70 |