- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $20.89
| Facility | | $10.96 | $15.14 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $23.99
| Professional | | $7.94 | $12.02 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.46 / $20.42
| Professional | | $5.37 | $6.46 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $13.80 / $13.80
| Facility | | $12.88 | $13.80 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $13.80
| Professional | | $13.80 | $13.80 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $50,118.72
| Facility | | $26.30 | $26.30 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $16.60
| Professional | | $6.76 | $6.76 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $28.18 / $64.57
| Facility | | $16.98 | $28.18 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $24.55 / $33.88
| Professional | | $16.98 | $24.55 | $33.88 |
- 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
- $10.96 / $16.22 / $16.22
| Professional | | $10.96 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.32 / $15.14
| Professional | | $5.50 | $8.32 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $16.22 / $17.38
| Facility | | $15.85 | $16.22 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $16.22 / $16.98
| Professional | | $15.85 | $16.22 | $16.98 |