- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.24
| Facility | | $1.41 | $1.41 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $1.67 / $2.24
| Professional | | $0.81 | $1.67 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $1.73
| Professional | | $1.73 | $1.73 | $1.73 |
- 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
- $2.19 / $2.88 / $2.88
| Professional | | $2.19 | $2.88 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $3.37
| Facility | | $1.73 | $1.73 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.14
| Professional | | $1.47 | $1.47 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $2.88 / $5.47
| Professional | | $2.65 | $2.88 | $5.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $1.95 / $2.16
| Professional | | $1.95 | $1.95 | $2.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.24
| Facility | | $1.41 | $1.41 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $1.59 / $2.52
| Professional | | $0.81 | $1.59 | $2.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.09 / $5.70
| Professional | | $3.60 | $4.09 | $5.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $3.37
| Facility | | $1.73 | $1.73 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $3.38
| Professional | | $1.47 | $1.47 | $3.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $2.74 / $2.74
| Facility | | $2.06 | $2.74 | $2.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.74 / $2.74
| Professional | | $2.06 | $2.74 | $2.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.04 / $1.44 / $2.60
| Professional | | $1.04 | $1.44 | $2.60 |