- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $6.05 / $9.51
| Facility | | $4.05 | $6.05 | $9.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $4.16 / $11.00
| Professional | | $3.54 | $4.16 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $57,255.43 / $79,506.39
| Facility | | $5,000.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.84 / $11.28
| Professional | | $4.12 | $4.84 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $65.00 / $75.00
| Facility | | $16.86 | $65.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $54.94 / $111.17
| Professional | | $4.94 | $54.94 | $111.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.00 / $45.00 / $94.00
| Professional | | $36.00 | $45.00 | $94.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $5.44 / $5.72
| Professional | | $5.34 | $5.44 | $5.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $6.17 / $10.35
| Facility | | $4.05 | $6.17 | $10.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.62 / $16.32
| Professional | | $3.75 | $4.62 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.10 / $13.40 / $18.60
| Professional | | $11.10 | $13.40 | $18.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $65.00 / $75.00
| Facility | | $16.86 | $65.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $60.80 / $112.19
| Professional | | $5.25 | $60.80 | $112.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.21 / $13.21 / $13.21
| Facility | | $13.21 | $13.21 | $13.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $13.21 / $13.21
| Professional | | $13.21 | $13.21 | $13.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $6.23 / $9.35
| Professional | | $4.70 | $6.23 | $9.35 |