- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $18.20 / $30.90
| Facility | | $9.55 | $18.20 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $17.78 / $34.67
| Professional | | $8.91 | $17.78 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $19.50 / $46.77
| Professional | | $14.79 | $19.50 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $12.30
| Facility | | $12.30 | $12.30 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $23.99
| Professional | | $12.30 | $12.30 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $14.79 / $50,118.72
| Facility | | $11.22 | $14.79 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $19.95 / $56.23
| Professional | | $8.71 | $19.95 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $15.85 / $29.51
| Facility | | $9.12 | $15.85 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $21.88 / $37.15
| Professional | | $4.27 | $21.88 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $20.89 / $33.11
| Professional | | $12.30 | $20.89 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $11.22 / $75,857.76
| Facility | | $7.94 | $11.22 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $17.78 / $398.11
| Professional | | $16.98 | $17.78 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $16.98 / $36.31
| Professional | | $8.32 | $16.98 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $11.22 / $33.88
| Facility | | $7.24 | $11.22 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $21.88 / $37.15
| Professional | | $11.75 | $21.88 | $37.15 |