- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $15.01 / $15.01
| Facility | | $14.51 | $15.01 | $15.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $15.01 / $17.35
| Professional | | $13.38 | $15.01 | $17.35 |
- 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
- $18.04 / $18.72 / $33.93
| Professional | | $18.04 | $18.72 | $33.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $21.36
| Facility | | $21.36 | $21.36 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.77 / $15.77 / $15.77
| Professional | | $15.77 | $15.77 | $15.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.40 / $38.40 / $38.40
| Facility | | $38.40 | $38.40 | $38.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.12 / $25.93 / $36.26
| Professional | | $20.12 | $25.93 | $36.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $15.01 / $15.01
| Facility | | $14.51 | $15.01 | $15.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $15.01 / $18.23
| Professional | | $13.38 | $15.01 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.20 / $44.40 / $44.40
| Professional | | $36.20 | $44.40 | $44.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $21.36
| Facility | | $21.36 | $21.36 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.77 / $15.77 / $15.77
| Professional | | $15.77 | $15.77 | $15.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.11 / $18.11 / $20.46
| Facility | | $18.11 | $18.11 | $20.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.34 / $18.43 / $18.52
| Professional | | $17.34 | $18.43 | $18.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $20.97 / $35.69
| Professional | | $16.20 | $20.97 | $35.69 |