- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $87.62 / $89.71
| Facility | | $8.94 | $87.62 | $89.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $26.46 / $44.00
| Professional | | $10.94 | $26.46 | $44.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $18.23 / $18.23
| Professional | | $18.23 | $18.23 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $21.36
| Facility | | $21.36 | $21.36 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $7.44
| Professional | | $7.44 | $7.44 | $7.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $24.68 / $26.43
| Professional | | $19.14 | $24.68 | $26.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.26 / $140.38 / $193.00
| Facility | | $43.26 | $140.38 | $193.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $87.62 / $89.71
| Facility | | $8.94 | $87.62 | $89.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $27.14 / $44.26
| Professional | | $11.17 | $27.14 | $44.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.40 / $27.20 / $35.90
| Professional | | $22.40 | $27.20 | $35.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $21.36
| Facility | | $21.36 | $21.36 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $7.44
| Professional | | $7.44 | $7.44 | $7.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $17.35 / $17.35
| Facility | | $10.69 | $17.35 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $17.35 / $17.35
| Professional | | $10.69 | $17.35 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.19 / $18.77
| Professional | | $7.73 | $9.19 | $18.77 |