- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.49 / $7.49 / $11.90
| Facility | | $7.49 | $7.49 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $9.36 / $12.21
| Professional | | $6.66 | $9.36 | $12.21 |
- 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
- $15.28 / $15.28 / $15.28
| Professional | | $15.28 | $15.28 | $15.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $7.80 / $7.80
| Professional | | $7.80 | $7.80 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.04 / $20.69 / $22.16
| Professional | | $16.04 | $20.69 | $22.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.49 / $7.49 / $11.90
| Facility | | $7.49 | $7.49 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $9.36 / $14.45
| Professional | | $7.12 | $9.36 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.40 / $21.80 / $30.10
| Professional | | $11.40 | $21.80 | $30.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $7.80 / $7.80
| Professional | | $7.80 | $7.80 | $7.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $11.49 / $14.54
| Facility | | $10.94 | $11.49 | $14.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $14.54 / $14.54
| Professional | | $10.94 | $14.54 | $14.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $7.62 / $13.79
| Professional | | $6.48 | $7.62 | $13.79 |