- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $11.77 / $18.68
| Facility | | $11.77 | $11.77 | $18.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $14.71 / $19.19
| Professional | | $8.35 | $14.71 | $19.19 |
- 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
- $18.27 / $23.99 / $23.99
| Professional | | $18.27 | $23.99 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $15.93 / $28.12
| Facility | | $15.93 | $15.93 | $28.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.54 / $13.54
| Professional | | $9.78 | $13.54 | $13.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.07 / $23.99 / $45.58
| Professional | | $22.07 | $23.99 | $45.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $11.77 / $18.68
| Facility | | $11.77 | $11.77 | $18.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $14.71 / $22.69
| Professional | | $10.14 | $14.71 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.80 / $34.20 / $47.30
| Professional | | $29.80 | $34.20 | $47.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $15.93 / $28.12
| Facility | | $15.93 | $15.93 | $28.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.54 / $16.96
| Professional | | $9.78 | $13.54 | $16.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $22.84 / $22.84
| Facility | | $17.16 | $22.84 | $22.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.16 / $22.84 / $22.84
| Professional | | $17.16 | $22.84 | $22.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.97 / $20.96
| Professional | | $7.98 | $11.97 | $20.96 |