- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $7.76 / $10.96
| Facility | | $3.98 | $7.76 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $8.91
| Professional | | $3.98 | $6.03 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $13.80
| Professional | | $4.27 | $4.27 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $7.94 / $7.94
| Facility | | $7.41 | $7.94 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $50,118.72
| Facility | | $15.49 | $15.49 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $9.55
| Professional | | $4.90 | $4.90 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $37.15
| Facility | | $9.77 | $16.22 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.13 / $19.50
| Professional | | $8.71 | $14.13 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $4.07 / $4.27
| Facility | | $4.07 | $4.07 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.62 / $5.89
| Professional | | $4.07 | $5.62 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $50,118.72 / $75,857.76
| Facility | | $8.71 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $9.33
| Professional | | $6.46 | $9.33 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.79 / $8.71
| Professional | | $3.16 | $4.79 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $5.50 / $5.62
| Facility | | $4.07 | $5.50 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.62 / $5.89
| Professional | | $4.07 | $5.62 | $5.89 |