- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $10.74
| Facility | | $6.76 | $6.76 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $8.46 / $11.03
| Professional | | $4.80 | $8.46 | $11.03 |
- 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
- $10.50 / $13.79 / $13.79
| Professional | | $10.50 | $13.79 | $13.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $8.28 / $16.16
| Facility | | $8.28 | $8.28 | $16.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $7.05 / $9.75
| Professional | | $7.05 | $7.05 | $9.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $12.69 / $18.67
| Professional | | $7.50 | $12.69 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $9.31 / $10.34
| Professional | | $8.21 | $9.31 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $10.74
| Facility | | $6.76 | $6.76 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $8.46 / $12.08
| Professional | | $3.77 | $8.46 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.10 / $19.70 / $27.20
| Professional | | $17.10 | $19.70 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $8.28 / $16.16
| Facility | | $8.28 | $8.28 | $16.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $7.05 / $16.13
| Professional | | $7.05 | $7.05 | $16.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $13.13 / $13.13
| Facility | | $9.86 | $13.13 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $13.13 / $13.13
| Professional | | $9.86 | $13.13 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.88 / $11.47
| Professional | | $4.84 | $6.88 | $11.47 |