- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.71 / $2.72
| Facility | | $1.71 | $1.71 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.97 / $2.02 / $2.72
| Professional | | $0.97 | $2.02 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $1.85
| Professional | | $1.85 | $1.85 | $1.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.49 / $3.49
| Professional | | $2.66 | $3.49 | $3.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $2.58
| Facility | | $2.09 | $2.09 | $2.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $2.58
| Professional | | $1.78 | $1.78 | $2.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $3.49 / $6.63
| Professional | | $3.21 | $3.49 | $6.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.83 / $3.83
| Professional | | $3.32 | $3.83 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.71 / $2.72
| Facility | | $1.71 | $1.71 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.94 / $1.86 / $2.72
| Professional | | $0.94 | $1.86 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.40 / $6.90
| Professional | | $1.20 | $1.40 | $6.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $2.58
| Facility | | $2.09 | $2.09 | $2.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $4.13
| Professional | | $1.78 | $1.78 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.48 / $3.32 / $3.32
| Facility | | $2.48 | $3.32 | $3.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.32 / $3.32
| Professional | | $2.48 | $3.32 | $3.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.73 / $3.13
| Professional | | $1.22 | $1.73 | $3.13 |