- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.22 / $32.22 / $267.11
| Facility | | $32.22 | $32.22 | $267.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.53 / $38.15 / $51.17
| Professional | | $18.53 | $38.15 | $51.17 |
- 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
- $50.05 / $65.73 / $65.73
| Professional | | $50.05 | $65.73 | $65.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.47 / $39.47 / $77.03
| Facility | | $39.47 | $39.47 | $77.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.56 / $33.56 / $48.77
| Professional | | $33.56 | $33.56 | $48.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.47 / $65.73 / $124.89
| Professional | | $60.47 | $65.73 | $124.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.57 / $469.57 / $500.09
| Facility | | $469.57 | $469.57 | $500.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.38 / $44.38 / $46.84
| Professional | | $44.38 | $44.38 | $46.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.22 / $51.17 / $280.86
| Facility | | $32.22 | $51.17 | $280.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $35.03 / $51.17
| Professional | | $18.00 | $35.03 | $51.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.50 / $93.70 / $129.50
| Professional | | $81.50 | $93.70 | $129.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.47 / $39.47 / $77.03
| Facility | | $39.47 | $39.47 | $77.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.56 / $33.56 / $76.13
| Professional | | $33.56 | $33.56 | $76.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.76 / $62.56 / $62.56
| Facility | | $43.76 | $62.56 | $62.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.76 / $62.56 / $62.56
| Professional | | $43.76 | $62.56 | $62.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.09 / $32.79 / $59.28
| Professional | | $23.09 | $32.79 | $59.28 |