- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $2.34 / $2.34
| Facility | | $0.66 | $2.34 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.46 / $0.82 / $1.04
| Professional | | $0.46 | $0.82 | $1.04 |
- 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
- $1.33 / $1.33 / $1.33
| Professional | | $1.33 | $1.33 | $1.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.56
| Facility | | $1.56 | $1.56 | $1.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.80 / $1.93
| Professional | | $1.40 | $1.80 | $1.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.00
| Professional | | $1.00 | $1.00 | $1.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $2.34 / $2.34
| Facility | | $0.66 | $2.34 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.40 / $0.82 / $1.11
| Professional | | $0.40 | $0.82 | $1.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $425.04 / $425.04 / $1,042.19
| Facility | | $425.04 | $425.04 | $1,042.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $1.90 / $2.60
| Professional | | $1.60 | $1.90 | $2.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.56
| Facility | | $1.56 | $1.56 | $1.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.27
| Facility | | $1.00 | $1.00 | $1.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.27 / $1.27
| Professional | | $1.00 | $1.27 | $1.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $0.67 / $1.11
| Professional | | $0.52 | $0.67 | $1.11 |