- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.75 / $25.75 / $99.65
| Facility | | $25.75 | $25.75 | $99.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.58 / $28.49 / $32.72
| Professional | | $21.58 | $28.49 | $32.72 |
- 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
- $47.64 / $62.57 / $62.57
| Professional | | $47.64 | $62.57 | $62.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.92 / $31.92 / $58.22
| Facility | | $31.92 | $31.92 | $58.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.30 / $23.30 / $50.98
| Professional | | $23.30 | $23.30 | $50.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.56 / $58.22 / $110.62
| Professional | | $53.56 | $58.22 | $110.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.25 / $42.25 / $46.93
| Professional | | $42.25 | $42.25 | $46.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.75 / $25.75 / $99.65
| Facility | | $25.75 | $25.75 | $99.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.79 / $29.55 / $97.76
| Professional | | $22.79 | $29.55 | $97.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.80 / $39.40 / $114.70
| Professional | | $22.80 | $39.40 | $114.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.92 / $31.92 / $58.22
| Facility | | $31.92 | $31.92 | $58.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.30 / $23.30 / $60.38
| Professional | | $23.30 | $23.30 | $60.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.74 / $59.55 / $59.55
| Facility | | $44.74 | $59.55 | $59.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.74 / $59.55 / $59.55
| Professional | | $44.74 | $59.55 | $59.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.81 / $31.21 / $52.02
| Professional | | $20.81 | $31.21 | $52.02 |