- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.52 / $42.10 / $518.00
| Facility | | $26.52 | $42.10 | $518.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $26.52 / $43.23
| Professional | | $16.80 | $26.52 | $43.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.97 / $54.08 / $54.08
| Professional | | $45.97 | $54.08 | $54.08 |
- 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
- $41.18 / $54.08 / $54.08
| Professional | | $41.18 | $54.08 | $54.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.21 / $36.21 / $36.21
| Facility | | $36.21 | $36.21 | $36.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.43 / $26.43 / $43.67
| Professional | | $26.43 | $26.43 | $43.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.75 / $54.08 / $102.75
| Professional | | $49.75 | $54.08 | $102.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.37 / $44.04 / $49.42
| Facility | | $42.37 | $44.04 | $49.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.86 / $42.25 / $45.43
| Professional | | $37.86 | $42.25 | $45.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.52 / $518.00 / $518.00
| Facility | | $26.52 | $518.00 | $518.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $33.14 / $51.14
| Professional | | $16.80 | $33.14 | $51.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.10 / $23.70 / $106.50
| Professional | | $18.10 | $23.70 | $106.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.21 / $36.21 / $36.21
| Facility | | $36.21 | $36.21 | $36.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.43 / $26.43 / $62.63
| Professional | | $26.43 | $26.43 | $62.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.59 / $51.47 / $51.47
| Facility | | $34.59 | $51.47 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.59 / $51.47 / $51.47
| Professional | | $34.59 | $51.47 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.78 / $29.22 / $47.24
| Professional | | $23.78 | $29.22 | $47.24 |