- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.59 / $9.32 / $10.39
| Facility | | $6.59 | $9.32 | $10.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $9.22 / $11.51
| Professional | | $5.36 | $9.22 | $11.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.05 / $13.00
| Professional | | $6.37 | $11.05 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.66 / $15.66 / $15.66
| Professional | | $15.66 | $15.66 | $15.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $17.64 / $17.64
| Facility | | $17.64 | $17.64 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $10.19 / $15.39
| Facility | | $10.19 | $10.19 | $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
- $22.48 / $90.00 / $90.00
| Facility | | $22.48 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.10 / $93.71 / $99.00
| Professional | | $90.10 | $93.71 | $99.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $14.82 / $22.41
| Facility | | $9.22 | $14.82 | $22.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $10.70 / $18.29
| Professional | | $3.50 | $10.70 | $18.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.70 / $24.95 / $28.62
| Professional | | $21.70 | $24.95 | $28.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $14.89 / $22.41
| Facility | | $9.32 | $14.89 | $22.41 |
- 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
- $6.32 / $7.52 / $13.33
| Professional | | $6.32 | $7.52 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.77 / $13.77 / $18.59
| Professional | | $13.77 | $13.77 | $18.59 |