- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.80 / $37.36 / $71.81
| Facility | | $27.80 | $37.36 | $71.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.60 / $34.28 / $57.01
| Professional | | $24.60 | $34.28 | $57.01 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $37.21 / $37.21 / $51.58
| Professional | 25 | $37.21 | $37.21 | $51.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.23 / $44.23 / $45.89
| Professional | | $44.23 | $44.23 | $45.89 |
- 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
- $46.88 / $48.65 / $75.05
| Professional | | $46.88 | $48.65 | $75.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.57 / $41.84 / $64.04
| Professional | | $30.57 | $41.84 | $64.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.73 / $71.73 / $71.73
| Professional | | $71.73 | $71.73 | $71.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.34 / $44.34 / $47.25
| Professional | | $44.34 | $44.34 | $47.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.80 / $37.36 / $1,812.00
| Facility | | $27.80 | $37.36 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.52 / $37.36 / $68.64
| Professional | | $27.52 | $37.36 | $68.64 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $37.21 / $37.21 / $51.58
| Professional | 25 | $37.21 | $37.21 | $51.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.60 / $42.61 / $64.04
| Professional | | $30.60 | $42.61 | $64.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.38 / $34.11 / $45.82
| Facility | | $30.38 | $34.11 | $45.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.38 / $40.11 / $48.34
| Professional | | $30.38 | $40.11 | $48.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.09 / $48.08 / $72.02
| Professional | | $35.09 | $48.08 | $72.02 |