- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.66 / $41.66 / $161.22
| Facility | | $41.66 | $41.66 | $161.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $46.09 / $55.14
| Professional | | $34.15 | $46.09 | $55.14 |
- 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
- $77.06 / $101.21 / $101.21
| Professional | | $77.06 | $101.21 | $101.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.62 / $64.62 / $87.29
| Facility | | $64.62 | $64.62 | $87.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.17 / $47.17 / $76.44
| Professional | | $47.17 | $47.17 | $76.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.31 / $87.29 / $165.85
| Professional | | $80.31 | $87.29 | $165.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.34 / $68.34 / $75.91
| Professional | | $68.34 | $68.34 | $75.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.66 / $41.66 / $161.22
| Facility | | $41.66 | $41.66 | $161.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $47.86 / $66.47
| Professional | | $34.15 | $47.86 | $66.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.00 / $119.00 / $172.00
| Professional | | $59.00 | $119.00 | $172.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.62 / $64.62 / $87.29
| Facility | | $64.62 | $64.62 | $87.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.17 / $47.17 / $115.88
| Professional | | $47.17 | $47.17 | $115.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.36 / $96.34 / $96.34
| Facility | | $72.36 | $96.34 | $96.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.36 / $96.34 / $96.34
| Professional | | $72.36 | $96.34 | $96.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $50.50 / $87.29
| Professional | | $36.29 | $50.50 | $87.29 |