- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $12.59 / $20.42
| Facility | | $6.76 | $12.59 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $8.71
| Professional | | $3.98 | $5.01 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $17.38
| Facility | | $6.76 | $6.76 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $2.69 / $14.13
| Professional | | $2.69 | $2.69 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.76 / $6.76
| Facility | | $4.07 | $6.76 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.76 / $6.76
| Professional | | $4.90 | $6.76 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $14.13 / $19.05
| Facility | | $4.37 | $14.13 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $8.32 / $32.36
| Professional | | $3.89 | $8.32 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $8.13 / $20.42
| Facility | | $5.01 | $8.13 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.68 / $12.88
| Professional | | $3.16 | $4.68 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.76 / $8.13
| Professional | | $4.79 | $6.76 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $12.59 / $50,118.72
| Facility | | $6.03 | $12.59 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $6.03 / $8.13
| Facility | | $3.72 | $6.03 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.07 / $10.00
| Professional | | $2.82 | $4.07 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $7.76 / $11.75
| Facility | | $3.55 | $7.76 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.92 / $11.48
| Professional | | $5.13 | $6.92 | $11.48 |