- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $12.22 / $24.68
| Facility | | $8.56 | $12.22 | $24.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.48 / $14.40
| Professional | | $8.10 | $10.48 | $14.40 |
- 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
- $11.70 / $13.77 / $22.88
| Professional | | $11.70 | $13.77 | $22.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $21.38 / $105.64
| Professional | | $8.57 | $21.38 | $105.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $45.00 / $94.00
| Professional | | $45.00 | $45.00 | $94.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $13.22 / $30.99
| Facility | | $8.56 | $13.22 | $30.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.60 / $16.55
| Professional | | $8.10 | $10.60 | $16.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.50 / $22.80 / $26.90
| Professional | | $21.50 | $22.80 | $26.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $23.94 / $105.85
| Professional | | $8.57 | $23.94 | $105.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $13.15 / $15.13
| Facility | | $13.15 | $13.15 | $15.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.15 / $15.13
| Professional | | $12.88 | $13.15 | $15.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.22 / $20.00 / $22.93
| Professional | | $17.22 | $20.00 | $22.93 |