- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $1.09 / $1.74
| Facility | | $1.09 | $1.09 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $1.37 / $1.78
| Professional | | $0.75 | $1.37 | $1.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $2.23 / $2.23
| Professional | | $2.23 | $2.23 | $2.23 |
- 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
- $1.70 / $2.23 / $2.23
| Professional | | $1.70 | $2.23 | $2.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.60
| Facility | | $1.41 | $1.41 | $2.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.20 / $1.74
| Professional | | $1.20 | $1.20 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.34 / $3.17
| Professional | | $1.90 | $2.34 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.51
| Professional | | $1.45 | $1.45 | $1.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $1.09 / $1.74
| Facility | | $1.09 | $1.09 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $1.37 / $1.94
| Professional | | $0.75 | $1.37 | $1.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $2.90 / $4.30
| Professional | | $1.50 | $2.90 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.60
| Facility | | $1.41 | $1.41 | $2.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.20 / $2.63
| Professional | | $1.20 | $1.20 | $2.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $2.12 / $2.12
| Facility | | $1.60 | $2.12 | $2.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.12 / $2.23
| Professional | | $1.60 | $2.12 | $2.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.78 / $1.12 / $2.02
| Professional | | $0.78 | $1.12 | $2.02 |