- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.92 / $105.30 / $353.43
| Facility | | $33.92 | $105.30 | $353.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.15 / $56.36 / $95.37
| Professional | | $22.15 | $56.36 | $95.37 |
- 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
- $58.14 / $60.34 / $136.44
| Professional | | $58.14 | $60.34 | $136.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $38.79 / $38.79
| Facility | | $38.79 | $38.79 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.75 / $55.65 / $117.49
| Professional | | $23.75 | $55.65 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.55 / $89.57 / $131.22
| Professional | | $69.55 | $89.57 | $131.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.00 / $180.00 / $458.74
| Facility | | $180.00 | $180.00 | $458.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.92 / $87.59 / $414.48
| Facility | | $33.92 | $87.59 | $414.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.30 / $57.74 / $104.21
| Professional | | $23.30 | $57.74 | $104.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.07 / $133.60 / $185.70
| Professional | | $32.07 | $133.60 | $185.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $38.79 / $38.79
| Facility | | $38.79 | $38.79 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.70 / $55.65 / $120.47
| Professional | | $23.70 | $55.65 | $120.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.86 / $58.01 / $81.77
| Facility | | $23.86 | $58.01 | $81.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.86 / $57.17 / $62.37
| Professional | | $23.86 | $57.17 | $62.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.34 / $81.13 / $136.84
| Professional | | $60.34 | $81.13 | $136.84 |