- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.10 / $45.88 / $1,359.00
| Facility | | $42.10 | $45.88 | $1,359.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.27 / $45.60 / $68.72
| Professional | | $36.27 | $45.60 | $68.72 |
- 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
- $47.40 / $69.09 / $92.01
| Professional | | $47.40 | $69.09 | $92.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.65 / $88.30 / $217.91
| Facility | | $62.65 | $88.30 | $217.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.34 / $58.13 / $96.79
| Professional | | $37.34 | $58.13 | $96.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.13 / $70.16 / $94.92
| Professional | | $48.13 | $70.16 | $94.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $509.80 / $509.80 / $509.80
| Facility | | $509.80 | $509.80 | $509.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.10 / $52.12 / $1,812.00
| Facility | | $42.10 | $52.12 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.35 / $51.28 / $102.51
| Professional | | $37.35 | $51.28 | $102.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.30 / $51.30 / $123.80
| Professional | | $49.30 | $51.30 | $123.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.40 / $62.65 / $181.59
| Facility | | $58.40 | $62.65 | $181.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.38 / $57.86 / $101.78
| Professional | | $37.38 | $57.86 | $101.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.07 / $38.07 / $46.60
| Facility | | $38.07 | $38.07 | $46.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.07 / $45.44 / $48.98
| Professional | | $38.07 | $45.44 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.17 / $55.58 / $103.32
| Professional | | $44.17 | $55.58 | $103.32 |