- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.24 / $11.24 / $11.24
| Facility | | $11.24 | $11.24 | $11.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $11.24 / $11.24
| Professional | | $8.53 | $11.24 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219,999.78 / $539,999.46 / $949,999.05
| Facility | | $219,999.78 | $539,999.46 | $949,999.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.45 / $23.09 / $25.66
| Professional | | $17.45 | $23.09 | $25.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.61 / $19.61 / $20.21
| Facility | | $19.61 | $19.61 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.61 / $19.61 / $19.61
| Professional | | $19.61 | $19.61 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $11.23 / $16.17
| Facility | | $11.23 | $11.23 | $16.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.23 / $15.79
| Professional | | $9.55 | $11.23 | $15.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $10.09 / $13.81
| Professional | | $5.98 | $10.09 | $13.81 |