- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $7.23 / $13.10
| Facility | | $4.80 | $7.23 | $13.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $9.03 / $23.00
| Professional | | $5.13 | $9.03 | $23.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $14.74 / $14.74
| Professional | | $14.74 | $14.74 | $14.74 |
- 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
- $11.22 / $14.74 / $14.74
| Professional | | $11.22 | $14.74 | $14.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $20.09
| Facility | | $10.29 | $10.29 | $20.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $12.72
| Professional | | $8.75 | $8.75 | $12.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $14.57 / $27.68
| Professional | | $13.40 | $14.57 | $27.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.30 / $101.30 / $101.30
| Facility | | $101.30 | $101.30 | $101.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $9.02 / $31.67
| Facility | | $4.80 | $9.02 | $31.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $9.02 / $24.00
| Professional | | $4.69 | $9.02 | $24.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.90 / $29.00
| Professional | | $10.10 | $10.90 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $20.09
| Facility | | $10.29 | $10.29 | $20.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $19.88
| Professional | | $8.75 | $8.75 | $19.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $14.03 / $14.03
| Facility | | $11.11 | $14.03 | $14.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $14.03 / $16.32
| Professional | | $11.11 | $14.03 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.60 / $12.88
| Professional | | $5.60 | $7.60 | $12.88 |