- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $7.10
| Facility | | $4.47 | $4.47 | $7.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.59 / $7.28
| Professional | | $3.16 | $5.59 | $7.28 |
- 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
- $6.94 / $9.11 / $9.11
| Professional | | $6.94 | $9.11 | $9.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.47 / $5.47 / $10.68
| Facility | | $5.47 | $5.47 | $10.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $4.65 / $6.43
| Professional | | $4.65 | $4.65 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $8.38 / $12.33
| Professional | | $5.77 | $8.38 | $12.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $6.15 / $6.49
| Professional | | $5.42 | $6.15 | $6.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $7.10
| Facility | | $4.47 | $4.47 | $7.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.59 / $7.98
| Professional | | $3.16 | $5.59 | $7.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $13.00 / $18.00
| Professional | | $11.30 | $13.00 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.47 / $5.47 / $10.68
| Facility | | $5.47 | $5.47 | $10.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $4.65 / $10.50
| Professional | | $4.65 | $4.65 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $8.67 / $8.67
| Facility | | $6.50 | $8.67 | $8.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.67 / $8.67
| Professional | | $6.50 | $8.67 | $8.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.54 / $7.95
| Professional | | $3.09 | $4.54 | $7.95 |