- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.47 / $18.47 / $71.48
| Facility | | $18.47 | $18.47 | $71.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $21.22 / $28.36
| Professional | | $17.57 | $21.22 | $28.36 |
- 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
- $34.18 / $44.88 / $44.88
| Professional | | $34.18 | $44.88 | $44.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.10 / $27.10 / $44.88
| Facility | | $27.10 | $27.10 | $44.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.78 / $19.78 / $55.97
| Professional | | $19.78 | $19.78 | $55.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.29 / $44.88 / $85.27
| Professional | | $41.29 | $44.88 | $85.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.65 / $33.65 / $33.65
| Professional | | $33.65 | $33.65 | $33.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.47 / $18.47 / $71.48
| Facility | | $18.47 | $18.47 | $71.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $21.62 / $31.44
| Professional | | $17.57 | $21.62 | $31.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.70 / $58.40 / $88.40
| Professional | | $19.70 | $58.40 | $88.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.10 / $27.10 / $44.88
| Facility | | $27.10 | $27.10 | $44.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.78 / $19.78 / $66.56
| Professional | | $19.78 | $19.78 | $66.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.09 / $42.72 / $42.72
| Facility | | $32.09 | $42.72 | $42.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.09 / $42.72 / $43.73
| Professional | | $32.09 | $42.72 | $43.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.97 / $22.39 / $37.32
| Professional | | $16.97 | $22.39 | $37.32 |