- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $9.32 / $14.81
| Facility | | $9.32 | $9.32 | $14.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $11.66 / $15.88
| Professional | | $6.61 | $11.66 | $15.88 |
- 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
- $14.48 / $19.01 / $19.01
| Professional | | $14.48 | $19.01 | $19.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $13.44 / $26.21
| Facility | | $13.44 | $13.44 | $26.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $11.42 / $16.53
| Professional | | $11.42 | $11.42 | $16.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.57 / $22.36 / $42.48
| Professional | | $20.57 | $22.36 | $42.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.49 / $64.03 / $119.46
| Facility | | $7.49 | $64.03 | $119.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $11.66 / $15.74
| Facility | | $9.32 | $11.66 | $15.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $11.66 / $17.55
| Professional | | $6.12 | $11.66 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $14.10 / $37.50
| Professional | | $13.00 | $14.10 | $37.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $13.44 / $26.21
| Facility | | $13.44 | $13.44 | $26.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $11.42 / $24.75
| Professional | | $11.42 | $11.42 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $18.10 / $18.10
| Facility | | $14.33 | $18.10 | $18.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $18.10 / $21.29
| Professional | | $14.33 | $18.10 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.53 / $10.19 / $14.24
| Facility | | $7.53 | $10.19 | $14.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $10.23 / $17.16
| Professional | | $7.85 | $10.23 | $17.16 |