- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.60 / $1.78
| Facility | | $1.12 | $1.60 | $1.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.13 / $1.60 / $1.96
| Professional | | $1.13 | $1.60 | $1.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.74 / $0.74 / $0.74
| Professional | | $0.74 | $0.74 | $0.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.00 / $2.29
| Professional | | $2.00 | $2.00 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $1.02 / $3.00
| Facility | | $1.02 | $1.02 | $3.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.00 / $1.65
| Professional | | $0.87 | $1.00 | $1.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $90.00 / $90.00
| Facility | | $3.85 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.95 / $17.67 / $18.38
| Professional | | $16.95 | $17.67 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $2.59 / $3.98
| Facility | | $1.58 | $2.59 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $1.83 / $1.83
| Professional | | $1.83 | $1.83 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $8.51 / $11.16
| Professional | | $7.47 | $8.51 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $2.60 / $3.98
| Facility | | $1.60 | $2.60 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.65 / $1.65
| Professional | | $0.87 | $1.65 | $1.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $1.29 / $2.29
| Professional | | $1.09 | $1.29 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $7.56
| Professional | | $5.60 | $5.60 | $7.56 |