- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $14.60 / $277.61
| Facility | | $11.68 | $14.60 | $277.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.60 / $20.37
| Professional | | $8.32 | $14.60 | $20.37 |
- 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
- $18.13 / $23.81 / $23.81
| Professional | | $18.13 | $23.81 | $23.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $16.44 / $32.06
| Facility | | $16.44 | $16.44 | $32.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.97 / $13.97 / $19.34
| Professional | | $13.97 | $13.97 | $19.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.82 / $24.80 / $47.12
| Professional | | $22.82 | $24.80 | $47.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.46 / $154.46 / $154.46
| Facility | | $154.46 | $154.46 | $154.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $19.71 / $277.61
| Facility | | $11.68 | $19.71 | $277.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $14.60 / $23.24
| Professional | | $9.83 | $14.60 | $23.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $17.70 / $46.90
| Professional | | $16.30 | $17.70 | $46.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $16.44 / $32.06
| Facility | | $16.44 | $16.44 | $32.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.97 / $13.97 / $31.88
| Professional | | $13.97 | $13.97 | $31.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.03 / $22.66 / $22.66
| Facility | | $17.03 | $22.66 | $22.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $22.66 / $26.04
| Professional | | $17.03 | $22.66 | $26.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.00 / $20.81
| Professional | | $8.94 | $12.00 | $20.81 |