- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.19 / $129.93 / $283.80
| Facility | | $62.19 | $129.93 | $283.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.29 / $79.55 / $201.23
| Professional | | $67.29 | $79.55 | $201.23 |
- 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
- $74.04 / $76.83 / $138.79
| Professional | | $74.04 | $76.83 | $138.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.12 / $86.12 / $86.12
| Facility | | $86.12 | $86.12 | $86.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.33 / $88.07 / $148.56
| Professional | | $70.33 | $88.07 | $148.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.99 / $105.37 / $158.01
| Professional | | $83.99 | $105.37 | $158.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.92 / $100.94 / $486.27
| Facility | | $53.92 | $100.94 | $486.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.03 / $129.93 / $283.80
| Facility | | $99.03 | $129.93 | $283.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.34 / $94.33 / $237.62
| Professional | | $71.34 | $94.33 | $237.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.40 / $103.38 / $185.60
| Professional | | $23.40 | $103.38 | $185.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.12 / $86.12 / $86.12
| Facility | | $86.12 | $86.12 | $86.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.33 / $88.59 / $151.76
| Professional | | $70.33 | $88.59 | $151.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.40 / $74.40 / $84.01
| Facility | | $74.40 | $74.40 | $84.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.87 / $75.06 / $77.03
| Professional | | $71.87 | $75.06 | $77.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.48 / $84.19 / $145.31
| Professional | | $65.48 | $84.19 | $145.31 |