- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $7.70
| Facility | | $4.84 | $4.84 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $6.06 / $7.90
| Professional | | $3.44 | $6.06 | $7.90 |
- 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
- $7.52 / $9.86 / $9.86
| Professional | | $7.52 | $9.86 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $5.93 / $11.57
| Facility | | $5.93 | $5.93 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $5.04 / $6.98
| Professional | | $5.04 | $5.04 | $6.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $9.08 / $13.36
| Professional | | $7.05 | $9.08 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $8.39 / $8.39
| Professional | | $8.39 | $8.39 | $8.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $7.70
| Facility | | $4.84 | $4.84 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $6.06 / $8.65
| Professional | | $2.70 | $6.06 | $8.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $14.10 / $19.50
| Professional | | $12.20 | $14.10 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $5.93 / $11.57
| Facility | | $5.93 | $5.93 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $5.04 / $11.63
| Professional | | $5.04 | $5.04 | $11.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.06 / $9.40 / $9.40
| Facility | | $7.06 | $9.40 | $9.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $9.40 / $9.40
| Professional | | $7.06 | $9.40 | $9.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $4.93 / $8.63
| Professional | | $3.37 | $4.93 | $8.63 |