- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.51 / $61.51 / $238.04
| Facility | | $61.51 | $61.51 | $238.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.03 / $66.81 / $77.20
| Professional | | $47.03 | $66.81 | $77.20 |
- 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
- $113.81 / $149.46 / $149.46
| Professional | | $113.81 | $149.46 | $149.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.09 / $75.09 / $120.17
| Facility | | $75.09 | $75.09 | $120.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.82 / $54.82 / $105.23
| Professional | | $54.82 | $54.82 | $105.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.56 / $120.17 / $228.32
| Professional | | $110.56 | $120.17 | $228.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.91 / $104.62 / $112.10
| Professional | | $100.91 | $104.62 | $112.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.51 / $61.51 / $238.04
| Facility | | $61.51 | $61.51 | $238.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.03 / $68.04 / $105.23
| Professional | | $47.03 | $68.04 | $105.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.10 / $59.30 / $236.80
| Professional | | $45.10 | $59.30 | $236.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.09 / $75.09 / $120.17
| Facility | | $75.09 | $75.09 | $120.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.82 / $54.82 / $140.63
| Professional | | $54.82 | $54.82 | $140.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.85 / $142.26 / $142.26
| Facility | | $106.85 | $142.26 | $142.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.85 / $142.26 / $142.26
| Professional | | $106.85 | $142.26 | $142.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.81 / $74.56 / $124.27
| Professional | | $50.81 | $74.56 | $124.27 |