- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.95 / $425.04 / $9,630.25
| Facility | | $23.95 | $425.04 | $9,630.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.51 / $159.31 / $425.04
| Professional | | $21.51 | $159.31 | $425.04 |
- 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
- $77.88 / $280.98 / $567.46
| Professional | | $77.88 | $280.98 | $567.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.82 / $92.55 / $514.98
| Professional | | $19.82 | $92.55 | $514.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $395.05 / $507.92 / $524.16
| Professional | | $395.05 | $507.92 | $524.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.77 / $619.54 / $1,406.43
| Facility | | $309.77 | $619.54 | $1,406.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.95 / $356.85 / $9,630.25
| Facility | | $23.95 | $356.85 | $9,630.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.51 / $159.31 / $442.70
| Professional | | $21.51 | $159.31 | $442.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.70 / $38.70 / $40.40
| Professional | | $38.70 | $38.70 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.22 / $34.22 / $34.22
| Facility | | $34.22 | $34.22 | $34.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.56 / $97.86 / $530.91
| Professional | | $20.56 | $97.86 | $530.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.42 / $30.39 / $347.39
| Facility | | $21.42 | $30.39 | $347.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.42 / $46.92 / $381.20
| Professional | | $21.42 | $46.92 | $381.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.48 / $307.32 / $434.24
| Professional | | $177.48 | $307.32 | $434.24 |