- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $27.24 / $83.67
| Facility | | $11.43 | $27.24 | $83.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.25 / $11.93 / $32.79
| Professional | | $6.25 | $11.93 | $32.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $20.00
| Professional | | $9.44 | $9.44 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $14.32 / $21.45
| Professional | | $13.80 | $14.32 | $21.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.12 / $21.12 / $21.41
| Facility | | $21.12 | $21.12 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.42 / $15.42 / $21.12
| Professional | | $15.42 | $15.42 | $21.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.97 / $27.60 / $215.62
| Facility | | $13.97 | $27.60 | $215.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.00 / $40.00 / $40.00
| Professional | | $40.00 | $40.00 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $27.89 / $108.68
| Facility | | $11.43 | $27.89 | $108.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.25 / $11.23 / $31.20
| Professional | | $6.25 | $11.23 | $31.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $13.00 / $17.00
| Professional | | $13.00 | $13.00 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.12 / $21.12 / $21.41
| Facility | | $21.12 | $21.12 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.42 / $15.42 / $21.12
| Professional | | $15.42 | $15.42 | $21.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.74 / $243.74 / $243.74
| Facility | | $243.74 | $243.74 | $243.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $243.74 / $243.74
| Professional | | $7.73 | $243.74 | $243.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $8.00 / $12.23
| Facility | | $6.30 | $8.00 | $12.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $8.65 / $15.14
| Professional | | $6.65 | $8.65 | $15.14 |