- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $9.77 / $26.15
| Facility | | $8.02 | $9.77 | $26.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $13.83 / $26.06
| Professional | | $7.37 | $13.83 | $26.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,639.91 / $79,506.39
| Facility | | $8,459.92 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.69 / $30.65 / $39.57
| Professional | | $22.69 | $30.65 | $39.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $11.66 / $2,151.00
| Facility | | $11.66 | $11.66 | $2,151.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.83 / $20.83 / $20.83
| Professional | | $20.83 | $20.83 | $20.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.89 / $18.89 / $18.89
| Facility | | $18.89 | $18.89 | $18.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.23 / $35.06 / $47.11
| Professional | | $27.23 | $35.06 | $47.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.35 / $23.49 / $23.62
| Professional | | $23.35 | $23.49 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $9.77 / $20.44
| Facility | | $8.02 | $9.77 | $20.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $16.67 / $37.29
| Professional | | $7.65 | $16.67 | $37.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $42.20 / $61.20
| Professional | | $28.00 | $42.20 | $61.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $11.66 / $2,151.00
| Facility | | $11.66 | $11.66 | $2,151.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.83 / $20.83 / $20.83
| Professional | | $20.83 | $20.83 | $20.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $22.22 / $22.22
| Facility | | $8.61 | $22.22 | $22.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $17.30 / $23.91
| Professional | | $8.61 | $17.30 | $23.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.86 / $23.22 / $41.27
| Professional | | $17.86 | $23.22 | $41.27 |