- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.52 / $26.52 / $42.10
| Facility | | $26.52 | $26.52 | $42.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $33.14 / $43.23
| Professional | | $18.05 | $33.14 | $43.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.39 / $28.39 / $28.39
| Professional | | $28.39 | $28.39 | $28.39 |
- 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
- $35.60 / $35.60 / $35.60
| Facility | | $35.60 | $35.60 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.99 / $25.99 / $43.67
| Professional | | $25.99 | $25.99 | $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
- Professional
- Modifier
- Low / Median / High Price
- $40.57 / $42.25 / $45.97
| Professional | | $40.57 | $42.25 | $45.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.52 / $42.10 / $158.69
| Facility | | $26.52 | $42.10 | $158.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.44 / $33.14 / $43.26
| Professional | | $18.44 | $33.14 | $43.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.60 / $106.50 / $106.50
| Professional | | $87.60 | $106.50 | $106.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.60 / $35.60 / $35.60
| Facility | | $35.60 | $35.60 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.99 / $25.99 / $62.63
| Professional | | $25.99 | $25.99 | $62.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.02 / $51.47 / $51.47
| Facility | | $49.02 | $51.47 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.02 / $51.47 / $51.47
| Professional | | $49.02 | $51.47 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.56 / $28.31 / $52.27
| Professional | | $21.56 | $28.31 | $52.27 |