- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.53 / $46.53 / $180.07
| Facility | | $46.53 | $46.53 | $180.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.71 / $51.48 / $64.93
| Professional | | $36.71 | $51.48 | $64.93 |
- 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
- $86.09 / $113.06 / $113.06
| Professional | | $86.09 | $113.06 | $113.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.68 / $71.68 / $93.80
| Facility | | $71.68 | $71.68 | $93.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.33 / $52.33 / $82.14
| Professional | | $52.33 | $52.33 | $82.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.30 / $93.80 / $178.22
| Professional | | $86.30 | $93.80 | $178.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.34 / $76.34 / $76.34
| Professional | | $76.34 | $76.34 | $76.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.53 / $46.53 / $180.07
| Facility | | $46.53 | $46.53 | $180.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.71 / $51.48 / $64.93
| Professional | | $36.71 | $51.48 | $64.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.50 / $127.90 / $184.80
| Professional | | $63.50 | $127.90 | $184.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.68 / $71.68 / $93.80
| Facility | | $71.68 | $71.68 | $93.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.33 / $52.33 / $140.25
| Professional | | $52.33 | $52.33 | $140.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.83 / $107.61 / $107.61
| Facility | | $80.83 | $107.61 | $107.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.83 / $107.61 / $115.07
| Professional | | $80.83 | $107.61 | $115.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.31 / $125.07 / $150.08
| Facility | | $106.31 | $125.07 | $150.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.60 / $56.41 / $94.01
| Professional | | $37.60 | $56.41 | $94.01 |