- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $8.51 / $21.88
| Facility | | $4.90 | $8.51 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $8.91
| Professional | | $7.08 | $7.08 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $8.91 / $16.98
| Professional | | $8.51 | $8.91 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $5.62
| Facility | | $5.13 | $5.13 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $5.13
| Professional | | $5.13 | $5.13 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $50,118.72
| Facility | | $8.32 | $8.32 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $15.14
| Facility | | $8.71 | $8.71 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.71 / $10.00
| Professional | | $8.32 | $8.71 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $8.71
| Facility | | $7.08 | $7.08 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $8.71 / $8.71
| Professional | | $1.95 | $8.71 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $4.07 / $4.07
| Facility | | $2.09 | $4.07 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.12 / $1.17 / $10.96
| Facility | | $0.12 | $1.17 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $9.33 / $11.75
| Professional | | $3.72 | $9.33 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $7.08 / $8.71
| Facility | | $1.95 | $7.08 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $8.71 / $8.71
| Professional | | $1.95 | $8.71 | $8.71 |