- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $9.77 / $21.38
| Facility | | $7.41 | $9.77 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $15.14
| Professional | | $7.08 | $7.08 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $7.41
| Professional | | $7.41 | $7.41 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $13.49
| Facility | | $12.88 | $12.88 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Professional | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $85.11
| Facility | | $6.92 | $6.92 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $9.55
| Professional | | $7.41 | $7.41 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $21.88
| Facility | | $6.03 | $7.94 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.92 / $9.55
| Professional | | $6.76 | $6.92 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $8.51
| Facility | | $8.13 | $8.13 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.51 / $8.51
| Professional | | $8.13 | $8.51 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $50,118.72 / $75,857.76
| Facility | | $7.59 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $60.26
| Professional | | $10.96 | $10.96 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.41 / $9.77
| Professional | | $5.25 | $7.41 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $9.77
| Facility | | $8.13 | $8.13 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.51 / $8.51
| Professional | | $8.13 | $8.51 | $8.51 |