- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $70.79 / $102.33
| Facility | | $19.50 | $70.79 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $19.05 / $19.05
| Professional | | $18.20 | $19.05 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $19.50
| Professional | | $5.13 | $5.13 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $12.88
| Facility | | $7.76 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $12.88 / $12.88
| Professional | | $8.32 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50,118.72
| Facility | | $50.12 | $50.12 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $28.84 / $114.82
| Professional | | $14.45 | $28.84 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $21.38
| Professional | | $5.01 | $5.01 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $22.91 / $23.99
| Professional | | $5.01 | $22.91 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $50,118.72 / $75,857.76
| Facility | | $10.96 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $13.49 / $16.60
| Facility | | $10.00 | $13.49 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.98 / $38.90
| Professional | | $9.77 | $16.98 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $26.30
| Facility | | $5.01 | $6.03 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $22.91 / $26.30
| Professional | | $5.01 | $22.91 | $26.30 |