- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.36 / $7.35 / $31.44
| Facility | | $6.36 | $7.35 | $31.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.20 / $14.90
| Professional | | $5.36 | $7.20 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.07 / $19.39 / $44.00
| Professional | | $17.07 | $19.39 | $44.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.71 / $13.19 / $13.19
| Professional | | $12.71 | $13.19 | $13.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $15.39 / $15.39
| Facility | | $15.39 | $15.39 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $7.45 / $7.45
| Professional | | $7.45 | $7.45 | $7.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.13 / $31.16 / $67.42
| Facility | | $27.13 | $31.16 | $67.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.36 / $8.75 / $31.44
| Facility | | $6.36 | $8.75 | $31.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.20 / $29.60
| Professional | | $5.36 | $7.20 | $29.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.16 / $30.40 / $31.83
| Professional | | $24.16 | $30.40 | $31.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $15.39 / $15.39
| Facility | | $15.39 | $15.39 | $15.39 |
- 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
- $6.28 / $8.07 / $15.90
| Professional | | $6.28 | $8.07 | $15.90 |