- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $7.70 / $7.70
| Facility | | $7.33 | $7.70 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $7.33 / $9.82
| Professional | | $4.28 | $7.33 | $9.82 |
- 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
- $1.44 / $1.44 / $13.96
| Professional | | $1.44 | $1.44 | $13.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $16.36 / $375.00
| Facility | | $16.36 | $16.36 | $375.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $7.13 / $7.13
| Professional | | $7.13 | $7.13 | $7.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $16.07 / $18.29
| Professional | | $12.46 | $16.07 | $18.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $10.70 / $14.32
| Professional | | $10.44 | $10.70 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $7.70 / $7.70
| Facility | | $7.33 | $7.70 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $7.33 / $11.00
| Professional | | $4.28 | $7.33 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $16.36 / $375.00
| Facility | | $16.36 | $16.36 | $375.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $7.13 / $7.13
| Professional | | $7.13 | $7.13 | $7.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.98 / $13.28 / $13.28
| Facility | | $9.98 | $13.28 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $13.28 / $13.28
| Professional | | $9.98 | $13.28 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $7.04 / $11.61
| Professional | | $5.63 | $7.04 | $11.61 |