- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $10.28 / $10.28
| Facility | | $10.28 | $10.28 | $10.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $6.75 / $31.20
| Professional | | $5.36 | $6.75 | $31.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $7.45 / $7.45
| Professional | | $7.45 | $7.45 | $7.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.43 / $27.60 / $32.79
| Professional | | $22.43 | $27.60 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $21.70 / $30.71
| Facility | | $11.42 | $21.70 | $30.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.58 / $17,150.38 / $18,772.80
| Professional | | $24.58 | $17,150.38 | $18,772.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.25 / $23.12 / $23.45
| Facility | | $19.25 | $23.12 | $23.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $23.77 / $31.45
| Facility | | $11.42 | $23.77 | $31.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $27.83 / $2,400,000.00
| Professional | | $7.45 | $27.83 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.47 / $35.01 / $45.74
| Facility | | $21.47 | $35.01 | $45.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.41 / $24.64 / $35.40
| Professional | | $24.41 | $24.64 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $7.58 / $12.54
| Professional | | $6.86 | $7.58 | $12.54 |