- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $6.19 / $9.83
| Facility | | $6.19 | $6.19 | $9.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $7.74 / $10.10
| Professional | | $4.40 | $7.74 | $10.10 |
- 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
- $9.61 / $12.63 / $12.63
| Professional | | $9.61 | $12.63 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $14.80
| Facility | | $7.59 | $7.59 | $14.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $8.93
| Professional | | $6.45 | $6.45 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $11.62 / $17.10
| Professional | | $6.83 | $11.62 | $17.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $9.47
| Professional | | $8.52 | $8.52 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $6.19 / $9.83
| Facility | | $6.19 | $6.19 | $9.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $7.74 / $11.06
| Professional | | $4.40 | $7.74 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.70 / $18.00 / $24.90
| Professional | | $15.70 | $18.00 | $24.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $14.80
| Facility | | $7.59 | $7.59 | $14.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $14.63
| Professional | | $6.45 | $6.45 | $14.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $12.02 / $12.02
| Facility | | $9.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $12.02 / $12.02
| Professional | | $9.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $6.30 / $10.50
| Professional | | $4.30 | $6.30 | $10.50 |