- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.63 / $48.63 / $188.20
| Facility | | $48.63 | $48.63 | $188.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.24 / $53.80 / $74.48
| Professional | | $46.24 | $53.80 | $74.48 |
- 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
- $89.97 / $118.15 / $118.15
| Professional | | $89.97 | $118.15 | $118.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.56 / $67.56 / $118.15
| Facility | | $67.56 | $67.56 | $118.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.33 / $49.33 / $103.46
| Professional | | $49.33 | $49.33 | $103.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.70 / $118.15 / $224.49
| Professional | | $108.70 | $118.15 | $224.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.78 / $79.78 / $79.78
| Professional | | $79.78 | $79.78 | $79.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.63 / $48.63 / $188.20
| Facility | | $48.63 | $48.63 | $188.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.24 / $56.90 / $92.30
| Professional | | $46.24 | $56.90 | $92.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.20 / $161.10 / $232.80
| Professional | | $60.20 | $161.10 | $232.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.56 / $67.56 / $118.15
| Facility | | $67.56 | $67.56 | $118.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.33 / $49.33 / $140.25
| Professional | | $49.33 | $49.33 | $140.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.46 / $112.46 / $112.46
| Facility | | $84.46 | $112.46 | $112.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.46 / $112.46 / $115.22
| Professional | | $84.46 | $112.46 | $115.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.76 / $58.94 / $106.54
| Professional | | $48.76 | $58.94 | $106.54 |