- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.71 / $10.69 / $9,264.78
| Facility | | $5.71 | $10.69 | $9,264.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.77 / $7.94
| Professional | | $5.71 | $5.77 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $13.09 / $25.85
| Facility | | $5.17 | $13.09 | $25.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $6.52 / $6.52
| Professional | | $6.52 | $6.52 | $6.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.33 / $9.56 / $3,692.01
| Facility | | $5.33 | $9.56 | $3,692.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.71 / $9.14
| Professional | | $3.98 | $5.71 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,167.64 / $2,167.64 / $2,167.64
| Facility | | $2,167.64 | $2,167.64 | $2,167.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.38 / $5.71 / $5.71
| Facility | | $5.38 | $5.71 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $5.71
| Professional | | $5.71 | $5.71 | $5.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.98 / $5.79 / $8.41
| Facility | | $4.98 | $5.79 | $8.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.71 / $10.81
| Professional | | $4.34 | $5.71 | $10.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.38 / $5.71 / $8.25
| Facility | | $5.38 | $5.71 | $8.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $5.71 / $10.55
| Professional | | $5.50 | $5.71 | $10.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $5.71
| Professional | | $5.71 | $5.71 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $5.97 / $7.71
| Professional | | $5.79 | $5.97 | $7.71 |