- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.39 / $37.39 / $144.69
| Facility | | $37.39 | $37.39 | $144.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.93 / $41.47 / $54.83
| Professional | | $30.93 | $41.47 | $54.83 |
- 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
- $69.18 / $90.85 / $90.85
| Professional | | $69.18 | $90.85 | $90.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.56 / $56.56 / $90.85
| Facility | | $56.56 | $56.56 | $90.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.29 / $41.29 / $79.55
| Professional | | $41.29 | $41.29 | $79.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.58 / $90.85 / $172.62
| Professional | | $83.58 | $90.85 | $172.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.35 / $62.48 / $68.14
| Professional | | $61.35 | $62.48 | $68.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.39 / $37.39 / $144.69
| Facility | | $37.39 | $37.39 | $144.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.53 / $43.75 / $58.47
| Professional | | $27.53 | $43.75 | $58.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.60 / $44.20 / $147.19
| Professional | | $33.60 | $44.20 | $147.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.56 / $56.56 / $90.85
| Facility | | $56.56 | $56.56 | $90.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.29 / $41.29 / $108.00
| Professional | | $41.29 | $41.29 | $108.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.49 / $86.47 / $86.47
| Facility | | $58.49 | $86.47 | $86.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.49 / $86.47 / $88.58
| Professional | | $58.49 | $86.47 | $88.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.43 / $45.32 / $81.94
| Professional | | $37.43 | $45.32 | $81.94 |