- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.31 / $1.64 / $2.08
| Facility | | $1.31 | $1.64 | $2.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.64 / $2.13
| Professional | | $1.17 | $1.64 | $2.13 |
- 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
- $2.67 / $2.67 / $2.67
| Professional | | $2.67 | $2.67 | $2.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $3.13
| Facility | | $3.13 | $3.13 | $3.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.38
| Professional | | $1.38 | $1.38 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $3.62 / $3.87
| Professional | | $2.80 | $3.62 | $3.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $11.26
| Facility | | $5.37 | $5.37 | $11.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.31 / $1.64 / $2.08
| Facility | | $1.31 | $1.64 | $2.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $1.64 / $2.52
| Professional | | $1.24 | $1.64 | $2.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.50 / $5.30
| Professional | | $2.00 | $3.50 | $5.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $3.13
| Facility | | $3.13 | $3.13 | $3.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.38
| Professional | | $1.38 | $1.38 | $1.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $2.02 / $2.54
| Facility | | $1.74 | $2.02 | $2.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.54 / $2.54
| Professional | | $1.74 | $2.54 | $2.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $1.34 / $2.80
| Professional | | $0.91 | $1.34 | $2.80 |