- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.98 / $88.45 / $89.86
| Facility | | $5.98 | $88.45 | $89.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $8.94 / $28.00
| Professional | | $7.47 | $8.94 | $28.00 |
- 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
- $12.19 / $12.19 / $12.19
| Professional | | $12.19 | $12.19 | $12.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.28 / $14.28 / $14.28
| Facility | | $14.28 | $14.28 | $14.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $4.97 / $4.97
| Professional | | $4.97 | $4.97 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.80 / $16.51 / $17.68
| Professional | | $12.80 | $16.51 | $17.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.15 / $102.21 / $137.28
| Facility | | $45.15 | $102.21 | $137.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.98 / $88.45 / $89.86
| Facility | | $5.98 | $88.45 | $89.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $9.69 / $28.00
| Professional | | $7.47 | $9.69 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $18.20 / $24.00
| Professional | | $15.00 | $18.20 | $24.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.28 / $14.28 / $14.28
| Facility | | $14.28 | $14.28 | $14.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $4.97 / $4.97
| Professional | | $4.97 | $4.97 | $4.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.13 / $11.60 / $11.60
| Facility | | $7.13 | $11.60 | $11.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $11.60 / $11.60
| Professional | | $7.13 | $11.60 | $11.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.14 / $11.46
| Professional | | $5.17 | $6.14 | $11.46 |