- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $3.09 / $67.61
| Facility | | $2.00 | $3.09 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $7.24
| Professional | | $2.00 | $3.02 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $4.27
| Professional | | $4.27 | $4.27 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $6.76
| Facility | | $6.76 | $6.76 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $1.74 / $1.74
| Professional | | $1.74 | $1.74 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.31 / $9.33
| Professional | | $4.57 | $6.31 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $4.27
| Facility | | $4.27 | $4.27 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.95 / $4.27
| Professional | | $2.57 | $2.95 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.57 / $67.61
| Facility | | $2.00 | $2.57 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $6.03
| Professional | | $2.00 | $3.02 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $12.88
| Facility | | $6.92 | $6.92 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $6.31 / $8.32
| Professional | | $0.60 | $6.31 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $2.45 / $4.07
| Facility | | $1.86 | $2.45 | $4.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.45 / $4.07
| Professional | | $1.86 | $2.45 | $4.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.09 / $3.55
| Professional | | $1.66 | $2.09 | $3.55 |