- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.30 / $222.38 / $230.01
| Facility | | $97.30 | $222.38 | $230.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.52 / $113.86 / $168.97
| Professional | | $92.52 | $113.86 | $168.97 |
- 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
- $180.02 / $236.42 / $236.42
| Professional | | $180.02 | $236.42 | $236.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.22 / $135.22 / $236.42
| Facility | | $135.22 | $135.22 | $236.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.72 / $98.72 / $207.02
| Professional | | $98.72 | $98.72 | $207.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.51 / $236.42 / $449.20
| Professional | | $217.51 | $236.42 | $449.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.67 / $127.81 / $127.81
| Facility | | $64.67 | $127.81 | $127.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.38 / $222.38 / $230.01
| Facility | | $222.38 | $222.38 | $230.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.52 / $119.74 / $227.88
| Professional | | $92.52 | $119.74 | $227.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.60 / $111.20 / $465.80
| Professional | | $84.60 | $111.20 | $465.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.22 / $135.22 / $236.42
| Facility | | $135.22 | $135.22 | $236.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.72 / $98.72 / $280.88
| Professional | | $98.72 | $98.72 | $280.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.04 / $225.03 / $225.03
| Facility | | $169.04 | $225.03 | $225.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.04 / $225.03 / $230.56
| Professional | | $169.04 | $225.03 | $230.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.36 / $118.45 / $213.22
| Professional | | $89.36 | $118.45 | $213.22 |