- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $19.95
| Facility | | $7.08 | $10.00 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $28.84
| Professional | | $6.03 | $8.91 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $4.27 / $13.49
| Professional | | $3.55 | $4.27 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $9.12 / $9.12
| Facility | | $8.51 | $9.12 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $9.12 / $9.12
| Professional | | $9.12 | $9.12 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $50,118.72
| Facility | | $17.38 | $17.38 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $10.96
| Professional | | $4.37 | $4.37 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $42.66
| Facility | | $10.96 | $18.20 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.85 / $21.88
| Professional | | $10.96 | $15.85 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Facility | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $16.98 / $16.98
| Professional | | $15.85 | $16.98 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.47 / $10.47
| Professional | | $7.24 | $10.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.37 / $10.00
| Professional | | $3.63 | $5.37 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $16.22 / $16.22
| Facility | | $15.85 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $16.22 / $16.98
| Professional | | $15.85 | $16.22 | $16.98 |