- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.79 / $34.79 / $134.63
| Facility | | $34.79 | $34.79 | $134.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.04 / $34.79 / $41.53
| Professional | | $30.04 | $34.79 | $41.53 |
- 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
- $59.33 / $77.92 / $77.92
| Professional | | $59.33 | $77.92 | $77.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $80.83
| Facility | | $44.94 | $44.94 | $80.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.81 / $32.81 / $71.59
| Professional | | $32.81 | $32.81 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.22 / $81.76 / $155.34
| Professional | | $75.22 | $81.76 | $155.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.62 / $52.62 / $52.62
| Professional | | $52.62 | $52.62 | $52.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.79 / $34.79 / $134.63
| Facility | | $34.79 | $34.79 | $134.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.04 / $36.34 / $63.32
| Professional | | $30.04 | $36.34 | $63.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.30 / $111.50 / $161.10
| Professional | | $55.30 | $111.50 | $161.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.94 / $44.94 / $80.83
| Facility | | $44.94 | $44.94 | $80.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.81 / $32.81 / $80.63
| Professional | | $32.81 | $32.81 | $80.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.22 / $37.22 / $74.16
| Facility | | $37.22 | $37.22 | $74.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.22 / $74.16 / $77.81
| Professional | | $37.22 | $74.16 | $77.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.24 / $37.24 / $37.24
| Facility | | $37.24 | $37.24 | $37.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.14 / $42.11 / $70.28
| Professional | | $35.14 | $42.11 | $70.28 |