- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.98 / $10.98 / $42.49
| Facility | | $10.98 | $10.98 | $42.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $11.63 / $22.39
| Professional | | $10.11 | $11.63 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.16 / $18.44 / $20.90
| Professional | | $14.16 | $18.44 | $20.90 |
- 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
- $18.72 / $24.59 / $24.59
| Professional | | $18.72 | $24.59 | $24.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $16.29 / $27.06
| Facility | | $16.29 | $16.29 | $27.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $11.89 / $29.25
| Professional | | $11.89 | $11.89 | $29.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.90 / $27.06 / $51.41
| Professional | | $24.90 | $27.06 | $51.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $18.44
| Professional | | $16.60 | $16.60 | $18.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.98 / $10.98 / $42.49
| Facility | | $10.98 | $10.98 | $42.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $12.06 / $112.32
| Professional | | $10.58 | $12.06 | $112.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,970.00 / $18,970.00 / $18,970.00
| Facility | | $18,970.00 | $18,970.00 | $18,970.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.70 / $33.79 / $53.30
| Professional | | $17.70 | $33.79 | $53.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $16.29 / $27.06
| Facility | | $16.29 | $16.29 | $27.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $11.89 / $29.25
| Professional | | $11.89 | $11.89 | $29.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.01 / $17.01 / $23.40
| Facility | | $17.01 | $17.01 | $23.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.01 / $23.40 / $25.76
| Professional | | $17.01 | $23.40 | $25.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.45 / $31.12 / $37.34
| Facility | | $26.45 | $31.12 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $13.86 / $21.49
| Professional | | $11.50 | $13.86 | $21.49 |