- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $22.86
| Facility | | $14.40 | $14.40 | $22.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $18.00 / $22.86
| Professional | | $10.22 | $18.00 | $22.86 |
- 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
- $29.38 / $29.38 / $29.38
| Professional | | $29.38 | $29.38 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.43 / $34.43 / $34.43
| Facility | | $34.43 | $34.43 | $34.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $15.00
| Professional | | $15.00 | $15.00 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.85 / $39.78 / $42.60
| Professional | | $30.85 | $39.78 | $42.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $22.86
| Facility | | $14.40 | $14.40 | $22.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $18.00 / $24.47
| Professional | | $9.00 | $18.00 | $24.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.56 / $408.56 / $408.56
| Facility | | $408.56 | $408.56 | $408.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $36.40 / $57.90
| Professional | | $10.00 | $36.40 | $57.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.43 / $34.43 / $34.43
| Facility | | $34.43 | $34.43 | $34.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $15.00
| Professional | | $15.00 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $27.96 / $27.96
| Facility | | $19.55 | $27.96 | $27.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $27.96 / $27.96
| Professional | | $19.55 | $27.96 | $27.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $14.65 / $24.42
| Professional | | $11.51 | $14.65 | $24.42 |