- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $1.12 / $19,054.61
| Facility | | $0.56 | $1.12 | $19,054.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $6.92
| Professional | | $1.00 | $1.00 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.95 / $1.62 / $95.50
| Professional | | $0.95 | $1.62 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $1.62
| Professional | | $1.62 | $1.62 | $1.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $0.98 / $2.57
| Facility | | $0.98 | $0.98 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $0.81 / $0.81
| Professional | | $0.81 | $0.81 | $0.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.34 / $3.55
| Professional | | $1.74 | $2.34 | $3.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $1.62
| Facility | | $1.62 | $1.62 | $1.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.98 / $1.15 / $1.62
| Professional | | $0.98 | $1.15 | $1.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.26 / $1.29 / $8.13
| Facility | | $1.26 | $1.29 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $1.12 / $19,054.61
| Facility | | $0.56 | $1.12 | $19,054.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $4.57
| Professional | | $1.00 | $1.00 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $3.98
| Facility | | $2.57 | $2.57 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $2.40 / $3.24
| Professional | | $0.60 | $2.40 | $3.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $1.45 / $8.51
| Facility | | $1.15 | $1.45 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.15 / $1.51 / $8.51
| Professional | | $1.15 | $1.51 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.79 / $1.35
| Professional | | $0.63 | $0.79 | $1.35 |