- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.32 / $56.32 / $217.96
| Facility | | $56.32 | $56.32 | $217.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.32 / $61.84 / $88.76
| Professional | | $56.32 | $61.84 | $88.76 |
- 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
- $96.03 / $126.12 / $126.12
| Professional | | $96.03 | $126.12 | $126.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.25 / $99.25 / $157.19
| Facility | | $99.25 | $99.25 | $157.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.45 / $72.45 / $166.88
| Professional | | $72.45 | $72.45 | $166.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.62 / $157.19 / $298.68
| Professional | | $144.62 | $157.19 | $298.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.28 / $88.28 / $88.28
| Professional | | $88.28 | $88.28 | $88.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.32 / $56.32 / $217.96
| Facility | | $56.32 | $56.32 | $217.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.22 / $61.84 / $102.50
| Professional | | $55.22 | $61.84 | $102.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.40 / $214.40 / $309.70
| Professional | | $106.40 | $214.40 | $309.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.25 / $99.25 / $157.19
| Facility | | $99.25 | $99.25 | $157.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.45 / $72.45 / $166.88
| Professional | | $72.45 | $72.45 | $166.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.24 / $60.24 / $120.04
| Facility | | $60.24 | $60.24 | $120.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.24 / $120.04 / $149.63
| Professional | | $60.24 | $120.04 | $149.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.13 / $82.54 / $94.11
| Facility | | $48.13 | $82.54 | $94.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.98 / $75.67 / $113.70
| Professional | | $58.98 | $75.67 | $113.70 |