- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.15 / $274.67 / $274.67
| Facility | | $40.15 | $274.67 | $274.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.54 / $44.43 / $58.86
| Professional | | $34.54 | $44.43 | $58.86 |
- 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
- $74.30 / $97.58 / $97.58
| Professional | | $74.30 | $97.58 | $97.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.81 / $62.81 / $88.28
| Facility | | $62.81 | $62.81 | $88.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.85 / $45.85 / $77.30
| Professional | | $45.85 | $45.85 | $77.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.22 / $88.28 / $167.73
| Professional | | $81.22 | $88.28 | $167.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.94 / $33.94 / $451.00
| Facility | | $33.94 | $33.94 | $451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.89 / $65.89 / $68.31
| Professional | | $65.89 | $65.89 | $68.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.58 / $70.58 / $274.67
| Facility | | $70.58 | $70.58 | $274.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.54 / $46.14 / $74.30
| Professional | | $34.54 | $46.14 | $74.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.60 / $59.80 / $173.90
| Professional | | $54.60 | $59.80 | $173.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.81 / $62.81 / $88.28
| Facility | | $62.81 | $62.81 | $88.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.85 / $45.85 / $127.13
| Professional | | $45.85 | $45.85 | $127.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.76 / $92.88 / $92.88
| Facility | | $69.76 | $92.88 | $92.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.76 / $92.88 / $104.30
| Professional | | $69.76 | $92.88 | $104.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.65 / $50.44 / $87.98
| Professional | | $36.65 | $50.44 | $87.98 |