- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $10.06 / $12.57
| Facility | | $10.06 | $10.06 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $15.07 / $36.00
| Professional | | $10.06 | $15.07 | $36.00 |
- 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
- $20.51 / $20.51 / $20.51
| Professional | | $20.51 | $20.51 | $20.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $24.04
| Facility | | $24.04 | $24.04 | $24.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $8.36
| Professional | | $8.36 | $8.36 | $8.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.54 / $27.77 / $29.74
| Professional | | $21.54 | $27.77 | $29.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.37 / $157.37 / $157.37
| Facility | | $157.37 | $157.37 | $157.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $10.06 / $12.57
| Facility | | $10.06 | $10.06 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $16.39 / $37.60
| Professional | | $11.52 | $16.39 | $37.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.19 / $29.10 / $40.40
| Professional | | $8.19 | $29.10 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $24.04
| Facility | | $24.04 | $24.04 | $24.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $8.36
| Professional | | $8.36 | $8.36 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $19.52 / $19.52
| Facility | | $12.04 | $19.52 | $19.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $19.52 / $19.52
| Professional | | $12.04 | $19.52 | $19.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $10.34 / $17.05
| Professional | | $8.27 | $10.34 | $17.05 |