- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.37 / $18.92 / $73.22
| Facility | | $17.37 | $18.92 | $73.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.72 / $17.73 / $20.78
| Professional | | $14.72 | $17.73 | $20.78 |
- 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
- $29.86 / $39.60 / $39.60
| Professional | | $29.86 | $39.60 | $39.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.22 / $22.22 / $22.22
| Facility | | $22.22 | $22.22 | $22.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $23.68
| Professional | | $16.22 | $16.22 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.43 / $39.60 / $75.23
| Professional | | $36.43 | $39.60 | $75.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.62 / $29.70 / $29.70
| Professional | | $27.62 | $29.70 | $29.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.92 / $18.92 / $73.22
| Facility | | $18.92 | $18.92 | $73.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.72 / $18.01 / $23.55
| Professional | | $14.72 | $18.01 | $23.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.30 / $53.20 / $77.00
| Professional | | $46.30 | $53.20 | $77.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.22 / $22.22 / $22.22
| Facility | | $22.22 | $22.22 | $22.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $27.38
| Professional | | $16.22 | $16.22 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $30.08 / $30.08
| Facility | | $19.55 | $30.08 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $30.08 / $30.08
| Professional | | $19.55 | $30.08 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $20.98 / $32.57
| Professional | | $17.64 | $20.98 | $32.57 |