- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.92 / $57.01 / $81.12
| Facility | | $52.92 | $57.01 | $81.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.28 / $61.56 / $103.68
| Professional | | $52.28 | $61.56 | $103.68 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $59.19 / $59.19 / $59.19
| Professional | 25 | $59.19 | $59.19 | $59.19 |
- 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
- $61.56 / $72.42 / $124.76
| Professional | | $61.56 | $72.42 | $124.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.39 / $69.51 / $101.71
| Professional | | $57.39 | $69.51 | $101.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.21 / $61.21 / $61.21
| Professional | | $61.21 | $61.21 | $61.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.92 / $56.24 / $91.91
| Facility | | $52.92 | $56.24 | $91.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.02 / $67.22 / $127.56
| Professional | | $53.02 | $67.22 | $127.56 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $59.19 / $59.19 / $59.19
| Professional | 25 | $59.19 | $59.19 | $59.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $65.97 / $85.38
| Professional | | $35.00 | $65.97 | $85.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $65.97 / $85.38
| Professional | | $35.00 | $65.97 | $85.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.73 / $85.61 / $176.40
| Professional | | $50.73 | $85.61 | $176.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.18 / $63.00 / $72.42
| Facility | | $47.18 | $63.00 | $72.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.18 / $63.00 / $72.42
| Professional | | $47.18 | $63.00 | $72.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $74.89 / $125.69
| Professional | | $59.41 | $74.89 | $125.69 |