- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $85.11
| Facility | | $12.02 | $18.62 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $18.20
| Professional | | $10.96 | $14.13 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.32 / $10.47
| Professional | | $6.46 | $8.32 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.20 / $43.65 / $85.11
| Facility | | $1.20 | $43.65 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $18.20 / $57.54
| Professional | | $6.92 | $18.20 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $12.02 / $24.55
| Facility | | $6.92 | $12.02 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.33 / $16.98
| Professional | | $8.32 | $9.33 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $13.18
| Facility | | $13.18 | $13.18 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $14.45 / $38.90
| Professional | | $11.22 | $14.45 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $19.50
| Professional | | $9.77 | $16.22 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $398.11 / $489.78
| Facility | | $338.84 | $398.11 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $10.47 / $24.55
| Professional | | $5.89 | $10.47 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $15.14 / $20.89
| Facility | | $5.25 | $15.14 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $18.62 / $47.86
| Professional | | $12.59 | $18.62 | $47.86 |