- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.00 / $41.00 / $158.66
| Facility | | $41.00 | $41.00 | $158.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.35 / $45.36 / $61.03
| Professional | | $33.35 | $45.36 | $61.03 |
- 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
- $75.86 / $99.64 / $99.64
| Professional | | $75.86 | $99.64 | $99.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.02 / $71.02 / $85.23
| Facility | | $71.02 | $71.02 | $85.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.84 / $51.84 / $74.63
| Professional | | $51.84 | $51.84 | $74.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.41 / $85.23 / $161.94
| Professional | | $78.41 | $85.23 | $161.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.28 / $67.28 / $71.01
| Professional | | $67.28 | $67.28 | $71.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.00 / $41.00 / $158.66
| Facility | | $41.00 | $41.00 | $158.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.35 / $47.11 / $75.86
| Professional | | $33.35 | $47.11 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.70 / $116.20 / $167.90
| Professional | | $57.70 | $116.20 | $167.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.02 / $71.02 / $85.23
| Facility | | $71.02 | $71.02 | $85.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.84 / $51.84 / $131.63
| Professional | | $51.84 | $51.84 | $131.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.23 / $94.83 / $94.83
| Facility | | $71.23 | $94.83 | $94.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.23 / $94.83 / $108.16
| Professional | | $71.23 | $94.83 | $108.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.04 / $49.70 / $85.23
| Professional | | $36.04 | $49.70 | $85.23 |