- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $10.87 / $10.87
| Facility | | $10.87 | $10.87 | $10.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $10.87 / $25.60
| Professional | | $6.52 | $10.87 | $25.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.37 / $28.37 / $28.37
| Facility | | $28.37 | $28.37 | $28.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.71 / $20.71 / $28.37
| Professional | | $20.71 | $20.71 | $28.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.90 / $29.26 / $34.84
| Professional | | $25.90 | $29.26 | $34.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $12.65 / $29.97
| Facility | | $9.33 | $12.65 | $29.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.98 / $25.98 / $25.98
| Professional | | $25.98 | $25.98 | $25.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.89 / $22.51 / $24.79
| Facility | | $19.89 | $22.51 | $24.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.89 / $19.89 / $19.89
| Professional | | $19.89 | $19.89 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $12.49 / $32.36
| Facility | | $6.65 | $12.49 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.71 / $28.37 / $2,400,000.00
| Professional | | $20.71 | $28.37 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.70 / $27.89 / $48.37
| Facility | | $22.70 | $27.89 | $48.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.81 / $28.80 / $37.43
| Professional | | $25.81 | $28.80 | $37.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $8.00 / $35.00
| Facility | | $8.00 | $8.00 | $35.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $8.01 / $13.35
| Professional | | $7.75 | $8.01 | $13.35 |