- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.73 / $27.73 / $44.02
| Facility | | $27.73 | $27.73 | $44.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.67 / $34.65 / $45.22
| Professional | | $19.67 | $34.65 | $45.22 |
- 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
- $43.06 / $56.56 / $56.56
| Professional | | $43.06 | $56.56 | $56.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $33.97 / $35.97
| Facility | | $33.97 | $33.97 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.88 / $28.88 / $39.97
| Professional | | $28.88 | $28.88 | $39.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.04 / $56.56 / $107.46
| Professional | | $52.04 | $56.56 | $107.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.70 / $38.19 / $42.42
| Professional | | $33.70 | $38.19 | $42.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.73 / $27.73 / $44.02
| Facility | | $27.73 | $27.73 | $44.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $34.65 / $49.52
| Professional | | $15.48 | $34.65 | $49.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.09 / $80.59 / $111.40
| Professional | | $70.09 | $80.59 | $111.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $33.97 / $35.97
| Facility | | $33.97 | $33.97 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.88 / $28.88 / $65.63
| Professional | | $28.88 | $28.88 | $65.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.23 / $53.83 / $53.83
| Facility | | $49.23 | $53.83 | $53.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.23 / $53.83 / $53.83
| Professional | | $49.23 | $53.83 | $53.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $28.22 / $49.42
| Professional | | $18.80 | $28.22 | $49.42 |