- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.40 / $17.04 / $82.98
| Facility | | $15.40 | $17.04 | $82.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.63 / $20.56 / $51.17
| Professional | | $14.63 | $20.56 | $51.17 |
- 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
- $28.49 / $37.42 / $37.42
| Professional | | $28.49 | $37.42 | $37.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.80 / $24.80 / $37.40
| Facility | | $24.80 | $24.80 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.10 / $18.10 / $32.74
| Professional | | $18.10 | $18.10 | $32.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.40 / $37.40 / $71.06
| Professional | | $34.40 | $37.40 | $71.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $33.95 / $70.00
| Facility | | $33.95 | $33.95 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.26 / $28.07 / $39.29
| Professional | | $25.26 | $28.07 | $39.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.40 / $75.44 / $120.82
| Facility | | $15.40 | $75.44 | $120.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.31 / $20.57 / $61.74
| Professional | | $15.31 | $20.57 | $61.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.10 / $18.50 / $73.70
| Professional | | $14.10 | $18.50 | $73.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.80 / $24.80 / $37.40
| Facility | | $24.80 | $24.80 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.10 / $18.10 / $44.63
| Professional | | $18.10 | $18.10 | $44.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $35.61 / $35.61
| Facility | | $26.75 | $35.61 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.75 / $35.61 / $36.53
| Professional | | $26.75 | $35.61 | $36.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.45 / $18.75 / $33.74
| Professional | | $15.45 | $18.75 | $33.74 |