- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.66 / $45.66 / $92.25
| Facility | | $45.66 | $45.66 | $92.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.41 / $64.93 / $186.60
| Professional | | $45.41 | $64.93 | $186.60 |
- 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
- $84.48 / $110.95 / $110.95
| Professional | | $84.48 | $110.95 | $110.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.33 / $88.85 / $121.02
| Facility | | $84.33 | $88.85 | $121.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.86 / $64.86 / $105.97
| Professional | | $64.86 | $64.86 | $105.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.34 / $121.02 / $229.94
| Professional | | $111.34 | $121.02 | $229.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.18 / $89.02 / $411.00
| Facility | | $82.18 | $89.02 | $411.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.92 / $74.92 / $88.76
| Professional | | $74.92 | $74.92 | $88.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.66 / $92.25 / $176.70
| Facility | | $45.66 | $92.25 | $176.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.65 / $66.62 / $186.60
| Professional | | $45.65 | $66.62 | $186.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.60 / $150.00 / $196.00
| Professional | | $38.60 | $150.00 | $196.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.33 / $88.85 / $121.02
| Facility | | $84.33 | $88.85 | $121.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.86 / $64.86 / $143.63
| Professional | | $64.86 | $64.86 | $143.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.72 / $105.60 / $105.60
| Facility | | $76.72 | $105.60 | $105.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.72 / $105.60 / $118.06
| Professional | | $76.72 | $105.60 | $118.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.13 / $55.96 / $100.06
| Professional | | $46.13 | $55.96 | $100.06 |