- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.31 / $124.16 / $323.99
| Facility | | $66.31 | $124.16 | $323.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.27 / $69.97 / $171.70
| Professional | | $53.27 | $69.97 | $171.70 |
- 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
- $95.06 / $98.65 / $161.87
| Professional | | $95.06 | $98.65 | $161.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $65.00 / $115.69
| Facility | | $65.00 | $65.00 | $115.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.79 / $96.37 / $160.38
| Professional | | $62.79 | $96.37 | $160.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $60.00 / $110.00
| Professional | | $45.00 | $60.00 | $110.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $196.30 / $226.52 / $340.99
| Facility | | $196.30 | $226.52 | $340.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.95 / $129.83 / $415.56
| Facility | | $69.95 | $129.83 | $415.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.89 / $74.18 / $207.59
| Professional | | $59.89 | $74.18 | $207.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.65 / $98.23 / $209.30
| Professional | | $77.65 | $98.23 | $209.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $65.00 / $115.69
| Facility | | $65.00 | $65.00 | $115.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.23 / $94.37 / $146.52
| Professional | | $64.23 | $94.37 | $146.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.88 / $98.31 / $98.31
| Facility | | $84.88 | $98.31 | $98.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.88 / $98.31 / $103.56
| Professional | | $84.88 | $98.31 | $103.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.23 / $89.68 / $132.26
| Professional | | $75.23 | $89.68 | $132.26 |