- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $118.50 / $533.00
| Facility | | $10.62 | $118.50 | $533.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.13 / $18.91
| Professional | | $4.57 | $5.13 | $18.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $8.44
| Professional | | $8.44 | $8.44 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.61 / $9.19
| Professional | | $4.76 | $5.61 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.13 / $13.68 / $124.00
| Facility | | $6.13 | $13.68 | $124.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $26.09 / $85.00
| Professional | | $15.92 | $26.09 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $8.86 / $16.80
| Professional | | $6.15 | $8.86 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $45.96 / $691.65
| Facility | | $23.99 | $45.96 | $691.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $81.95 / $533.00
| Facility | | $10.62 | $81.95 | $533.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $5.13 / $18.91
| Professional | | $4.36 | $5.13 | $18.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $13.80 / $72.30
| Professional | | $10.90 | $13.80 | $72.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.13 / $12.24 / $124.00
| Facility | | $6.13 | $12.24 | $124.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $21.78 / $51.42
| Professional | | $7.46 | $21.78 | $51.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $5.05 / $5.57
| Professional | | $4.97 | $5.05 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.98 / $26.37
| Professional | | $4.50 | $6.98 | $26.37 |