- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $11.48 / $16.22
| Facility | | $6.03 | $11.48 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.00 / $13.49
| Professional | | $6.03 | $10.00 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $23.99
| Professional | | $7.59 | $7.59 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $11.75 / $11.75
| Facility | | $10.96 | $11.75 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $11.75
| Professional | | $11.75 | $11.75 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $24.55 / $50,118.72
| Facility | | $10.00 | $24.55 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $8.51 / $14.13
| Professional | | $8.51 | $8.51 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $23.99 / $54.95
| Facility | | $14.45 | $23.99 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $16.98 / $27.54
| Professional | | $9.12 | $16.98 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $11.22
| Facility | | $10.72 | $10.72 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.72
| Professional | | $10.23 | $10.23 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $50,118.72 / $75,857.76
| Facility | | $22.91 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $13.80 / $13.80
| Professional | | $9.33 | $13.80 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.11 / $6.46 / $10.47
| Facility | | $0.11 | $6.46 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.24 / $11.75
| Professional | | $4.68 | $7.24 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.23 / $11.22
| Facility | | $10.00 | $10.23 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.72
| Professional | | $10.23 | $10.23 | $10.72 |