- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $23.50 / $23.50
| Facility | | $16.18 | $23.50 | $23.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.18 / $18.94 / $24.18
| Professional | | $16.18 | $18.94 | $24.18 |
- 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
- $29.94 / $39.32 / $39.32
| Professional | | $29.94 | $39.32 | $39.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.97 / $29.97 / $48.06
| Facility | | $29.97 | $29.97 | $48.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $52.13
| Professional | | $21.88 | $21.88 | $52.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.22 / $48.06 / $91.31
| Professional | | $44.22 | $48.06 | $91.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $51.00 / $145.43
| Facility | | $51.00 | $51.00 | $145.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.55 / $27.04 / $29.49
| Professional | | $26.55 | $27.04 | $29.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $23.50 / $62.62
| Facility | | $16.18 | $23.50 | $62.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $18.94 / $27.07
| Professional | | $11.95 | $18.94 | $27.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.20 / $22.60 / $94.70
| Professional | | $17.20 | $22.60 | $94.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.97 / $29.97 / $48.06
| Facility | | $29.97 | $29.97 | $48.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $52.13
| Professional | | $21.88 | $21.88 | $52.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.18 / $27.18 / $37.43
| Facility | | $27.18 | $27.18 | $37.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.18 / $37.43 / $45.75
| Professional | | $27.18 | $37.43 | $45.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.08 / $20.79 / $43.25
| Professional | | $15.08 | $20.79 | $43.25 |