- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.78 / $58.78 / $227.48
| Facility | | $58.78 | $58.78 | $227.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.89 / $65.04 / $90.05
| Professional | | $55.89 | $65.04 | $90.05 |
- 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
- $108.76 / $142.83 / $142.83
| Professional | | $108.76 | $142.83 | $142.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.70 / $81.70 / $142.83
| Facility | | $81.70 | $81.70 | $142.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.64 / $59.64 / $125.07
| Professional | | $59.64 | $59.64 | $125.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.40 / $142.83 / $271.38
| Professional | | $131.40 | $142.83 | $271.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.12 / $107.12 / $107.12
| Professional | | $107.12 | $107.12 | $107.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.78 / $58.78 / $227.48
| Facility | | $58.78 | $58.78 | $227.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.89 / $68.79 / $227.48
| Professional | | $55.89 | $68.79 | $227.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.10 / $194.80 / $281.39
| Professional | | $140.10 | $194.80 | $281.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.70 / $81.70 / $142.83
| Facility | | $81.70 | $81.70 | $142.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.64 / $59.64 / $169.50
| Professional | | $59.64 | $59.64 | $169.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.10 / $135.94 / $135.94
| Facility | | $102.10 | $135.94 | $135.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.10 / $135.94 / $139.32
| Professional | | $102.10 | $135.94 | $139.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.04 / $71.97 / $124.79
| Professional | | $54.04 | $71.97 | $124.79 |