- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.31 / $33.53 / $299.88
| Facility | | $30.31 | $33.53 | $299.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.23 / $34.82 / $50.34
| Professional | | $28.23 | $34.82 | $50.34 |
- 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
- $56.07 / $73.64 / $73.64
| Professional | | $56.07 | $73.64 | $73.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.45 / $46.45 / $72.12
| Facility | | $46.45 | $46.45 | $72.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $33.90 / $83.63
| Professional | | $33.90 | $33.90 | $83.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.34 / $72.12 / $137.03
| Professional | | $66.34 | $72.12 | $137.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.47 / $158.47 / $219.90
| Facility | | $158.47 | $158.47 | $219.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.31 / $117.30 / $314.48
| Facility | | $30.31 | $117.30 | $314.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.23 / $34.82 / $61.33
| Professional | | $28.23 | $34.82 | $61.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.60 / $93.90 / $142.10
| Professional | | $44.60 | $93.90 | $142.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.45 / $46.45 / $72.12
| Facility | | $46.45 | $46.45 | $72.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $33.90 / $83.63
| Professional | | $33.90 | $33.90 | $83.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.90 / $70.09 / $70.09
| Facility | | $50.90 | $70.09 | $70.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.90 / $70.09 / $70.09
| Professional | | $50.90 | $70.09 | $70.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.16 / $36.74 / $66.41
| Professional | | $30.16 | $36.74 | $66.41 |