- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $5.37
| Facility | | $2.00 | $3.02 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $3.98
| Professional | | $2.00 | $3.02 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $7.41
| Facility | | $3.72 | $3.72 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $10.23
| Professional | | $3.39 | $3.39 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.37 / $5.37
| Facility | | $5.01 | $5.37 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $5.37
| Professional | | $5.37 | $5.37 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $53,703.18
| Facility | | $7.59 | $7.59 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $19.05
| Professional | | $1.62 | $1.62 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $6.31 / $14.79
| Facility | | $3.80 | $6.31 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $6.92 / $10.96
| Professional | | $3.39 | $6.92 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $3.16 / $5.25
| Facility | | $3.16 | $3.16 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.25 / $5.62
| Professional | | $3.80 | $5.25 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $50,118.72 / $75,857.76
| Facility | | $6.76 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Facility | | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $4.90 / $10.00
| Professional | | $1.58 | $4.90 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $5.25 / $5.25
| Facility | | $3.16 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.25 / $5.89
| Professional | | $3.80 | $5.25 | $5.89 |