- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $4.29 / $6.81
| Facility | | $4.29 | $4.29 | $6.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $5.36 / $7.00
| Professional | | $3.05 | $5.36 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $8.76 / $8.76
| Professional | | $8.76 | $8.76 | $8.76 |
- 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
- $6.66 / $8.76 / $8.76
| Professional | | $6.66 | $8.76 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.26 / $5.26 / $10.26
| Facility | | $5.26 | $5.26 | $10.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $6.19
| Professional | | $4.47 | $4.47 | $6.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.06 / $11.86
| Professional | | $6.30 | $8.06 | $11.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $5.92 / $6.57
| Professional | | $5.68 | $5.92 | $6.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $4.29 / $6.81
| Facility | | $4.29 | $4.29 | $6.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $5.36 / $7.25
| Professional | | $2.39 | $5.36 | $7.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $12.50 / $17.20
| Professional | | $10.90 | $12.50 | $17.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.26 / $5.26 / $10.26
| Facility | | $5.26 | $5.26 | $10.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $10.13
| Professional | | $4.47 | $4.47 | $10.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.27 / $8.33 / $8.33
| Facility | | $6.27 | $8.33 | $8.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $8.33 / $8.33
| Professional | | $6.27 | $8.33 | $8.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $4.37 / $7.65
| Professional | | $2.97 | $4.37 | $7.65 |