- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $8.41 / $13.35
| Facility | | $8.41 | $8.41 | $13.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $9.51 / $13.71
| Professional | | $5.96 | $9.51 | $13.71 |
- 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
- $13.06 / $17.14 / $17.14
| Professional | | $13.06 | $17.14 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $18.79
| Facility | | $10.29 | $10.29 | $18.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $13.16
| Professional | | $8.75 | $8.75 | $13.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $15.77 / $23.21
| Professional | | $8.81 | $15.77 | $23.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $10.21 / $12.86
| Professional | | $10.21 | $10.21 | $12.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $8.41 / $13.35
| Facility | | $8.41 | $8.41 | $13.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $10.28 / $14.56
| Professional | | $4.69 | $10.28 | $14.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.80 / $23.40 / $33.79
| Professional | | $12.80 | $23.40 | $33.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $18.79
| Facility | | $10.29 | $10.29 | $18.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $19.88
| Professional | | $8.75 | $8.75 | $19.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $16.32 / $16.32
| Facility | | $12.25 | $16.32 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $16.32 / $16.32
| Professional | | $12.25 | $16.32 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $8.55 / $15.44
| Professional | | $5.84 | $8.55 | $15.44 |