- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.58 / $13.85
| Facility | | $3.58 | $3.58 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $3.79 / $5.41
| Professional | | $3.14 | $3.79 | $5.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.01 / $6.81
| Professional | | $4.51 | $6.01 | $6.81 |
- 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
- $6.10 / $8.01 / $8.01
| Professional | | $6.10 | $8.01 | $8.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $8.01
| Facility | | $5.18 | $5.18 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $3.78 / $7.01
| Professional | | $3.78 | $3.78 | $7.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $8.01 / $15.22
| Professional | | $7.37 | $8.01 | $15.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $5.41 / $5.71
| Professional | | $5.41 | $5.41 | $5.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.58 / $13.85
| Facility | | $3.58 | $3.58 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $3.93 / $30.81
| Professional | | $3.14 | $3.93 | $30.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $10.00 / $15.80
| Professional | | $4.90 | $10.00 | $15.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $8.01
| Facility | | $5.18 | $5.18 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $3.78 / $9.38
| Professional | | $3.78 | $3.78 | $9.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.54 / $5.54 / $7.62
| Facility | | $5.54 | $5.54 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.62 / $7.62
| Professional | | $5.54 | $7.62 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.80 / $7.25
| Professional | | $3.75 | $4.80 | $7.25 |