- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.47 / $89.47 / $346.25
| Facility | | $89.47 | $89.47 | $346.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.97 / $98.99 / $123.54
| Professional | | $72.97 | $98.99 | $123.54 |
- 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
- $165.54 / $217.41 / $217.41
| Professional | | $165.54 | $217.41 | $217.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.51 / $116.51 / $186.44
| Facility | | $116.51 | $116.51 | $186.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.05 / $85.05 / $163.26
| Professional | | $85.05 | $85.05 | $163.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $171.52 / $186.44 / $354.24
| Professional | | $171.52 | $186.44 | $354.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.80 / $146.80 / $152.19
| Professional | | $146.80 | $146.80 | $152.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.47 / $89.47 / $346.25
| Facility | | $89.47 | $89.47 | $346.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.95 / $101.15 / $173.93
| Professional | | $72.95 | $101.15 | $173.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.00 / $85.40 / $367.30
| Professional | | $65.00 | $85.40 | $367.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.51 / $116.51 / $186.44
| Facility | | $116.51 | $116.51 | $186.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.05 / $85.05 / $266.63
| Professional | | $85.05 | $85.05 | $266.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.44 / $206.93 / $206.93
| Facility | | $155.44 | $206.93 | $206.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.44 / $206.93 / $218.92
| Professional | | $155.44 | $206.93 | $218.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.67 / $92.18 / $107.51
| Facility | | $71.67 | $92.18 | $107.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.06 / $108.46 / $180.77
| Professional | | $77.06 | $108.46 | $180.77 |