- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $1,365.65 / $2,807.83
| Facility | | $4.49 | $1,365.65 | $2,807.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.61 / $7.32
| Professional | | $3.98 | $5.61 | $7.32 |
- 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
- $9.15 / $9.15 / $9.15
| Professional | | $9.15 | $9.15 | $9.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $10.73
| Facility | | $10.73 | $10.73 | $10.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $4.67 / $4.67
| Professional | | $4.67 | $4.67 | $4.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $12.39 / $13.27
| Professional | | $9.61 | $12.39 | $13.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $34.68 / $43.86
| Facility | | $1.27 | $34.68 | $43.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $1,365.65 / $2,807.83
| Facility | | $4.49 | $1,365.65 | $2,807.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.61 / $8.65
| Professional | | $4.26 | $5.61 | $8.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $12.50 / $18.00
| Professional | | $6.80 | $12.50 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $10.73
| Facility | | $10.73 | $10.73 | $10.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $4.67 / $4.67
| Professional | | $4.67 | $4.67 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $6.87 / $8.71
| Facility | | $6.53 | $6.87 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $8.71 / $8.71
| Professional | | $6.53 | $8.71 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $4.55 / $8.24
| Professional | | $3.58 | $4.55 | $8.24 |