- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $10.96 / $24.55
| Facility | | $9.77 | $10.96 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $12.02
| Professional | | $8.91 | $10.00 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.23
| Facility | | $9.33 | $9.33 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $9.33
| Professional | | $9.33 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $85.11 / $85.11
| Facility | | $4.37 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $10.00 / $15.85
| Facility | | $4.68 | $10.00 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $10.47 / $10.47
| Professional | | $4.68 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.72 / $10.72
| Facility | | $10.47 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.72
| Professional | | $10.47 | $10.47 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $50,118.72 / $75,857.76
| Facility | | $22.39 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $6.46
| Professional | | $6.46 | $6.46 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $10.47 / $12.59
| Professional | | $9.77 | $10.47 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.72 / $11.75
| Facility | | $10.47 | $10.72 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.72
| Professional | | $10.47 | $10.47 | $10.72 |