- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.72 / $60.24 / $71.08
| Facility | | $22.72 | $60.24 | $71.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $14.11 / $14.63
| Professional | | $11.29 | $14.11 | $14.63 |
- 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
- $13.42 / $13.42 / $13.42
| Professional | | $13.42 | $13.42 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $25.64 / $57.59
| Facility | | $16.34 | $25.64 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.95 / $82.95 / $82.95
| Professional | | $82.95 | $82.95 | $82.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.07 / $23.23 / $42.51
| Professional | | $18.07 | $23.23 | $42.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.49 / $71.08 / $71.08
| Facility | | $26.49 | $71.08 | $71.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.70 / $19.79 / $71.08
| Professional | | $11.70 | $19.79 | $71.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $26.54 / $57.59
| Facility | | $16.69 | $26.54 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.95 / $82.95 / $82.95
| Professional | | $82.95 | $82.95 | $82.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $18.93
| Facility | | $17.21 | $17.21 | $18.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $18.93
| Professional | | $17.21 | $17.21 | $18.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $20.65
| Facility | | $10.33 | $10.33 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $10.33 / $31.49
| Professional | | $7.23 | $10.33 | $31.49 |