- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.17 / $91.50 / $486.27
| Facility | | $48.17 | $91.50 | $486.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.49 / $61.58 / $291.85
| Professional | | $50.49 | $61.58 | $291.85 |
- 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
- $57.47 / $59.64 / $105.79
| Professional | | $57.47 | $59.64 | $105.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.95 / $67.95 / $67.95
| Facility | | $67.95 | $67.95 | $67.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.62 / $68.17 / $116.97
| Professional | | $55.62 | $68.17 | $116.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.38 / $82.02 / $123.35
| Professional | | $65.38 | $82.02 | $123.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.78 / $172.88 / $486.27
| Facility | | $58.78 | $172.88 | $486.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.87 / $106.10 / $972.54
| Facility | | $81.87 | $106.10 | $972.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.15 / $71.66 / $291.85
| Professional | | $54.15 | $71.66 | $291.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $78.77 / $153.19
| Professional | | $10.19 | $78.77 | $153.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.95 / $67.95 / $67.95
| Facility | | $67.95 | $67.95 | $67.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.62 / $68.95 / $123.18
| Professional | | $55.62 | $68.95 | $123.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.60 / $60.60 / $63.68
| Facility | | $60.60 | $60.60 | $63.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.82 / $60.85 / $62.99
| Professional | | $58.82 | $60.85 | $62.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.30 / $68.59 / $115.69
| Professional | | $51.30 | $68.59 | $115.69 |