- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $20.42 / $32.36
| Facility | | $10.72 | $20.42 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $15.85
| Professional | | $6.03 | $8.91 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $28.18
| Facility | | $10.72 | $10.72 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $23.44
| Professional | | $5.13 | $5.13 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $10.72
| Facility | | $6.46 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.72 / $10.72
| Professional | | $7.76 | $10.72 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $22.91 / $97.72
| Facility | | $8.13 | $22.91 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $15.14 / $66.07
| Professional | | $6.76 | $15.14 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $13.80 / $34.67
| Facility | | $8.51 | $13.80 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.59 / $20.89
| Professional | | $5.01 | $7.59 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $8.91
| Facility | | $8.91 | $8.91 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.33 / $11.48
| Professional | | $6.61 | $9.33 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $19.50 / $50,118.72
| Facility | | $8.71 | $19.50 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $9.55 / $13.49
| Facility | | $6.46 | $9.55 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.46 / $16.22
| Professional | | $4.47 | $6.46 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $9.12 / $16.98
| Facility | | $8.91 | $9.12 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.72 / $31.62
| Professional | | $7.41 | $10.72 | $31.62 |