- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $4.79 / $38.90
| Facility | | $1.86 | $4.79 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.00 / $3.98
| Professional | | $1.00 | $2.00 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.86 / $6.03
| Professional | | $1.86 | $1.86 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.55 / $3.55
| Facility | | $3.31 | $3.55 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.55 / $3.55
| Professional | | $3.55 | $3.55 | $3.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $50,118.72
| Facility | | $6.76 | $6.76 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $2.19 / $4.27
| Professional | | $2.19 | $2.19 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $7.08 / $16.60
| Facility | | $4.37 | $7.08 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.17 / $8.71
| Professional | | $3.89 | $6.17 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $1.74 / $1.82
| Facility | | $1.74 | $1.74 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.45 / $2.63
| Professional | | $1.74 | $2.45 | $2.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $50,118.72 / $75,857.76
| Facility | | $3.72 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.17 / $4.17
| Professional | | $2.82 | $4.17 | $4.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.14 / $3.89
| Professional | | $1.41 | $2.14 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $2.40 / $2.45
| Facility | | $1.74 | $2.40 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.45 / $2.63
| Professional | | $1.74 | $2.45 | $2.63 |