- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $1.90 / $7.15
| Facility | | $1.52 | $1.90 | $7.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.94 / $1.83 / $2.41
| Professional | | $0.94 | $1.83 | $2.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.10 / $3.10
| Professional | | $2.36 | $3.10 | $3.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $3.64
| Facility | | $1.85 | $1.85 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.57 / $3.75
| Professional | | $1.57 | $1.57 | $3.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.10 / $5.89
| Professional | | $2.85 | $3.10 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $6.23 / $6.23
| Facility | | $6.23 | $6.23 | $6.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $2.75 / $14.00
| Facility | | $1.52 | $2.75 | $14.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.83 / $1.71 / $2.57
| Professional | | $0.83 | $1.71 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.40 / $6.10
| Professional | | $3.80 | $4.40 | $6.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $3.64
| Facility | | $1.85 | $1.85 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.57 / $3.79
| Professional | | $1.57 | $1.57 | $3.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.20 / $2.95 / $2.95
| Facility | | $2.20 | $2.95 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.95 / $2.95
| Professional | | $2.20 | $2.95 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.54 / $2.79
| Professional | | $1.11 | $1.54 | $2.79 |