- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $26.31 / $63.15
| Facility | | $8.42 | $26.31 | $63.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $8.42 / $11.00
| Professional | | $1.61 | $8.42 | $11.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $9.60 / $50.00
| Professional | | $9.60 | $9.60 | $50.00 |
- 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
- $12.72 / $13.20 / $13.20
| Professional | | $12.72 | $13.20 | $13.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $8.52 / $8.52
| Professional | | $4.69 | $8.52 | $8.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $16.25
| Professional | | $9.44 | $9.44 | $16.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $15.64 / $26.48
| Facility | | $9.65 | $15.64 | $26.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.00 / $75.00 / $82.50
| Professional | | $75.00 | $75.00 | $82.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $24.56 / $62.85
| Facility | | $8.28 | $24.56 | $62.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $8.22 / $11.30
| Professional | | $1.62 | $8.22 | $11.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $8.52 / $8.52
| Professional | | $3.75 | $8.52 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $11.10 / $11.10
| Facility | | $7.73 | $11.10 | $11.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $11.10 / $11.10
| Professional | | $7.73 | $11.10 | $11.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $11.85 / $20.00
| Professional | | $8.24 | $11.85 | $20.00 |