- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.15 / $54.48 / $110.34
| Facility | | $39.15 | $54.48 | $110.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.04 / $42.00 / $67.73
| Professional | | $28.04 | $42.00 | $67.73 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $78.05 / $78.05 / $78.05
| Professional | 25 | $78.05 | $78.05 | $78.05 |
- 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
- $65.88 / $74.50 / $107.82
| Professional | | $65.88 | $74.50 | $107.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.22 / $59.06 / $98.56
| Professional | | $39.22 | $59.06 | $98.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.53 / $110.53 / $110.53
| Professional | | $110.53 | $110.53 | $110.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.20 / $70.20 / $70.20
| Professional | | $70.20 | $70.20 | $70.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.15 / $54.48 / $1,812.00
| Facility | | $39.15 | $54.48 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.43 / $47.31 / $76.41
| Professional | | $32.43 | $47.31 | $76.41 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $78.05 / $78.05 / $78.05
| Professional | 25 | $78.05 | $78.05 | $78.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.77 / $59.29 / $98.56
| Professional | | $41.77 | $59.29 | $98.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.66 / $49.00 / $67.97
| Facility | | $28.66 | $49.00 | $67.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.66 / $50.95 / $71.83
| Professional | | $28.66 | $50.95 | $71.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.29 / $53.86 / $84.66
| Professional | | $38.29 | $53.86 | $84.66 |