- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.40 / $39.40 / $152.47
| Facility | | $39.40 | $39.40 | $152.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.46 / $43.59 / $55.51
| Professional | | $37.46 | $43.59 | $55.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.79 / $71.79 / $71.79
| Professional | | $71.79 | $71.79 | $71.79 |
- 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
- $72.89 / $95.72 / $95.72
| Professional | | $72.89 | $95.72 | $95.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.48 / $70.48 / $95.72
| Facility | | $70.48 | $70.48 | $95.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.45 / $51.45 / $83.82
| Professional | | $51.45 | $51.45 | $83.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.06 / $95.72 / $181.87
| Professional | | $88.06 | $95.72 | $181.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $425.38 / $425.38 / $442.40
| Facility | | $425.38 | $425.38 | $442.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.40 / $39.40 / $152.47
| Facility | | $39.40 | $39.40 | $152.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.46 / $45.26 / $74.78
| Professional | | $37.46 | $45.26 | $74.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.29 / $45.00 / $188.60
| Professional | | $34.29 | $45.00 | $188.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.48 / $70.48 / $95.72
| Facility | | $70.48 | $70.48 | $95.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.45 / $51.45 / $113.63
| Professional | | $51.45 | $51.45 | $113.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.44 / $91.11 / $91.11
| Facility | | $68.44 | $91.11 | $91.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.44 / $91.11 / $93.36
| Professional | | $68.44 | $91.11 | $93.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.63 / $47.75 / $83.63
| Professional | | $36.63 | $47.75 | $83.63 |