- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $94.58 / $543.40
| Facility | | $1.62 | $94.58 | $543.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $2.02
| Professional | | $1.62 | $1.62 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $8.08 / $33.29
| Professional | | $1.69 | $8.08 | $33.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $68.61 / $108.23
| Facility | | $1.73 | $68.61 | $108.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $37.49 / $42.60
| Professional | | $1.73 | $37.49 | $42.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $1.98 / $25.67
| Facility | | $1.62 | $1.98 | $25.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $2.02 / $26.38
| Facility | | $1.62 | $2.02 | $26.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $3.55
| Professional | | $1.69 | $1.69 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $21.98 / $85.00
| Professional | | $3.00 | $21.98 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $1.98 / $25.67
| Facility | | $1.62 | $1.98 | $25.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $29.31 / $43.15
| Professional | | $0.66 | $29.31 | $43.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $90.00 / $90.00
| Facility | | $90.00 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $2.15 / $404.61
| Professional | | $1.73 | $2.15 | $404.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.48 / $27.48 / $27.48
| Professional | | $27.48 | $27.48 | $27.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $88.47 / $88.47
| Professional | | $2.43 | $88.47 | $88.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $2.20
| Professional | | $1.69 | $1.69 | $2.20 |