- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.97 / $9.35
| Facility | | $4.26 | $5.97 | $9.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $7.40 / $7.73
| Professional | | $4.26 | $7.40 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $23.22
| Facility | | $11.61 | $11.61 | $23.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.03 / $13.30
| Professional | | $3.25 | $4.03 | $13.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.84 / $6.84 / $9.68
| Facility | | $6.84 | $6.84 | $9.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $6.84 / $6.84
| Professional | | $6.84 | $6.84 | $6.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $5.09
| Professional | | $5.09 | $5.09 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.61 / $24.38 / $332.00
| Facility | | $11.61 | $24.38 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $20.90 / $32.28
| Professional | | $11.61 | $20.90 | $32.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $9.07 / $9.07
| Facility | | $6.65 | $9.07 | $9.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $7.13 / $9.07
| Professional | | $6.72 | $7.13 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $597.00 / $74,999.25
| Facility | | $555.00 | $597.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.18 / $19.89
| Professional | | $5.09 | $7.18 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $11.61
| Facility | | $11.61 | $11.61 | $11.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $10.14 / $14.64
| Professional | | $3.86 | $10.14 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.72 / $6.72 / $6.72
| Facility | | $6.72 | $6.72 | $6.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $7.13 / $9.07
| Professional | | $6.65 | $7.13 | $9.07 |