- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $5.97 / $27,255.94
| Facility | | $4.36 | $5.97 | $27,255.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $5.23
| Professional | | $4.36 | $4.36 | $5.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $47.75 / $359.05
| Facility | | $10.60 | $47.75 | $359.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.58 / $2,120.40
| Professional | | $4.36 | $4.58 | $2,120.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $5.35 / $10.40
| Facility | | $4.67 | $5.35 | $10.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $7.17 / $9.49
| Professional | | $5.19 | $7.17 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $5.27
| Facility | | $4.36 | $4.36 | $5.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $4.51
| Professional | | $4.36 | $4.36 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $53.00 / $8,090.00
| Facility | | $4.36 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $4.36
| Professional | | $4.36 | $4.36 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $5.05
| Professional | | $4.36 | $4.36 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.90 / $25.86 / $188.79
| Facility | | $9.90 | $25.86 | $188.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.41 / $359.05 / $359.05
| Facility | | $78.41 | $359.05 | $359.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.62 / $2,120.40
| Professional | | $4.36 | $4.62 | $2,120.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.38 / $53.43 / $84.42
| Facility | | $5.38 | $53.43 | $84.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.62 / $12.91
| Professional | | $4.36 | $4.62 | $12.91 |