- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $16.98
| Facility | | $7.08 | $10.00 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $19.05
| Professional | | $6.03 | $7.94 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.47 / $14.13
| Professional | | $3.72 | $4.47 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $9.55 / $9.55
| Facility | | $8.91 | $9.55 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $9.55
| Professional | | $9.55 | $9.55 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $50,118.72
| Facility | | $18.20 | $18.20 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $11.48
| Professional | | $4.68 | $4.68 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $19.05 / $44.67
| Facility | | $11.48 | $19.05 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.98 / $22.39
| Professional | | $11.48 | $16.98 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $13.18
| Facility | | $13.18 | $13.18 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $14.13 / $14.13
| Professional | | $13.18 | $14.13 | $14.13 |
- 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
- $7.59 / $11.22 / $11.22
| Professional | | $7.59 | $11.22 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.62 / $10.47
| Professional | | $3.80 | $5.62 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $14.13
| Facility | | $13.18 | $13.18 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $14.13
| Professional | | $13.18 | $13.18 | $14.13 |