- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $2.82
| Facility | | $1.78 | $1.78 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $2.22 / $2.90
| Professional | | $1.10 | $2.22 | $2.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $3.62 / $3.62
| Professional | | $1.26 | $3.62 | $3.62 |
- 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
- $2.76 / $3.62 / $3.62
| Professional | | $2.76 | $3.62 | $3.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $4.25
| Facility | | $2.18 | $2.18 | $4.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $2.56
| Professional | | $1.85 | $1.85 | $2.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $3.33 / $4.90
| Professional | | $1.80 | $3.33 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.52 / $2.72
| Professional | | $2.15 | $2.52 | $2.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $2.82
| Facility | | $1.78 | $1.78 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $2.22 / $3.17
| Professional | | $1.01 | $2.22 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.20 / $7.10
| Professional | | $4.50 | $5.20 | $7.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $4.25
| Facility | | $2.18 | $2.18 | $4.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $4.13
| Professional | | $1.85 | $1.85 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $3.45 / $3.45
| Facility | | $2.59 | $3.45 | $3.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.45 / $3.45
| Professional | | $2.59 | $3.45 | $3.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.81 / $3.25
| Professional | | $1.30 | $1.81 | $3.25 |