- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.93 / $4.93 / $19.07
| Facility | | $4.93 | $4.93 | $19.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $5.22 / $7.37
| Professional | | $4.33 | $5.22 | $7.37 |
- 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
- $8.42 / $11.05 / $11.05
| Professional | | $8.42 | $11.05 | $11.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $7.14 / $11.05
| Facility | | $7.14 | $7.14 | $11.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $5.21 / $12.75
| Professional | | $5.21 | $5.21 | $12.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $11.05 / $21.00
| Professional | | $10.17 | $11.05 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $7.74 / $7.88
| Professional | | $7.46 | $7.74 | $7.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.93 / $4.93 / $19.07
| Facility | | $4.93 | $4.93 | $19.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $5.22 / $33.65
| Professional | | $4.33 | $5.22 | $33.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $15.10 / $21.80
| Professional | | $7.40 | $15.10 | $21.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $7.14 / $11.05
| Facility | | $7.14 | $7.14 | $11.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $5.21 / $12.75
| Professional | | $5.21 | $5.21 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $5.27 / $10.52
| Facility | | $5.27 | $5.27 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $10.52 / $10.52
| Professional | | $5.27 | $10.52 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $7.28 / $8.49
| Facility | | $4.25 | $7.28 | $8.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $6.63 / $9.96
| Professional | | $5.19 | $6.63 | $9.96 |