- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.38 / $7.90 / $9.03
| Facility | | $2.38 | $7.90 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $2.62 / $3.78
| Professional | | $1.47 | $2.62 | $3.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $4.84
| Professional | | $4.84 | $4.84 | $4.84 |
- 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
- $3.70 / $4.84 / $4.84
| Professional | | $3.70 | $4.84 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $2.92 / $5.31
| Facility | | $2.92 | $2.92 | $5.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $3.53
| Professional | | $2.48 | $2.48 | $3.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $4.46 / $6.57
| Professional | | $3.29 | $4.46 | $6.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $3.27 / $3.64
| Professional | | $2.89 | $3.27 | $3.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.38 / $7.90 / $9.03
| Facility | | $2.38 | $7.90 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.97 / $4.01
| Professional | | $1.35 | $2.97 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $6.60 / $9.60
| Professional | | $3.60 | $6.60 | $9.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $2.92 / $5.31
| Facility | | $2.92 | $2.92 | $5.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $5.63
| Professional | | $2.48 | $2.48 | $5.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $4.62 / $4.62
| Facility | | $3.46 | $4.62 | $4.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $4.62 / $4.62
| Professional | | $3.46 | $4.62 | $4.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.42 / $4.75
| Professional | | $1.70 | $2.42 | $4.75 |