- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $146.91 / $422.46
| Facility | | $18.68 | $146.91 | $422.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.14 / $61.62 / $221.22
| Professional | | $40.14 | $61.62 | $221.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.12 / $112.31 / $179.69
| Professional | | $70.12 | $112.31 | $179.69 |
- 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
- $114.02 / $149.74 / $149.74
| Professional | | $114.02 | $149.74 | $149.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.64 / $86.64 / $147.82
| Facility | | $86.64 | $86.64 | $147.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.25 / $63.25 / $129.44
| Professional | | $63.25 | $63.25 | $129.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.99 / $147.82 / $280.86
| Professional | | $135.99 | $147.82 | $280.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.49 / $57.74 / $608.70
| Facility | | $48.49 | $57.74 | $608.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.12 / $108.47 / $127.44
| Professional | | $101.12 | $108.47 | $127.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $146.91 / $422.46
| Facility | | $18.68 | $146.91 | $422.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.14 / $66.95 / $120.17
| Professional | | $40.14 | $66.95 | $120.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.10 / $61.30 / $291.20
| Professional | | $47.10 | $61.30 | $291.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.64 / $86.64 / $147.82
| Facility | | $86.64 | $86.64 | $147.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.25 / $63.25 / $144.38
| Professional | | $63.25 | $63.25 | $144.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.55 / $142.52 / $142.52
| Facility | | $103.55 | $142.52 | $142.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.55 / $142.52 / $142.52
| Professional | | $103.55 | $142.52 | $142.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.53 / $74.70 / $135.04
| Professional | | $51.53 | $74.70 | $135.04 |