- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.20 / $126.44 / $126.44
| Facility | | $1.20 | $126.44 | $126.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $1.31 / $2.02
| Professional | | $0.71 | $1.31 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $3.99 / $3.99
| Professional | | $1.72 | $3.99 | $3.99 |
- 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
- $2.45 / $2.45 / $3.12
| Professional | | $2.45 | $2.45 | $3.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $2.87 / $2.87
| Facility | | $2.87 | $2.87 | $2.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $1.25
| Professional | | $1.25 | $1.25 | $1.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.32 / $3.55
| Professional | | $2.57 | $3.32 | $3.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $9.73 / $12.30
| Facility | | $7.21 | $9.73 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.20 / $1.91 / $126.44
| Facility | | $1.20 | $1.91 | $126.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $1.35 / $2.31
| Professional | | $0.71 | $1.35 | $2.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.50 / $4.80
| Professional | | $3.00 | $3.50 | $4.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $2.87 / $2.87
| Facility | | $2.87 | $2.87 | $2.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $1.25
| Professional | | $1.25 | $1.25 | $1.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.63 / $2.33 / $2.33
| Facility | | $1.63 | $2.33 | $2.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.63 / $2.33 / $2.33
| Professional | | $1.63 | $2.33 | $2.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.04 / $1.22 / $2.21
| Professional | | $1.04 | $1.22 | $2.21 |