- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $9.31 / $36.03
| Facility | | $9.31 | $9.31 | $36.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $9.86 / $16.94
| Professional | | $9.23 | $9.86 | $16.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.72 / $17.72 / $17.72
| Professional | | $17.72 | $17.72 | $17.72 |
- 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
- $15.87 / $20.85 / $20.85
| Professional | | $15.87 | $20.85 | $20.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.44 / $14.44 / $25.19
| Facility | | $14.44 | $14.44 | $25.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $10.54 / $21.75
| Professional | | $10.54 | $10.54 | $21.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.17 / $25.19 / $47.86
| Professional | | $23.17 | $25.19 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $14.08 / $15.64
| Professional | | $14.08 | $14.08 | $15.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $9.31 / $36.03
| Facility | | $9.31 | $9.31 | $36.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $10.22 / $78.72
| Professional | | $9.13 | $10.22 | $78.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.00 / $32.79 / $49.60
| Professional | | $17.00 | $32.79 | $49.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.44 / $14.44 / $25.19
| Facility | | $14.44 | $14.44 | $25.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $10.54 / $21.75
| Professional | | $10.54 | $10.54 | $21.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $14.41 / $19.84
| Facility | | $14.41 | $14.41 | $19.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.41 / $19.84 / $23.98
| Professional | | $14.41 | $19.84 | $23.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.43 / $12.46 / $18.21
| Professional | | $9.43 | $12.46 | $18.21 |