- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $83.18 / $204.17
| Facility | | $9.33 | $83.18 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.38 / $63.10
| Professional | | $1.00 | $1.38 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.85 / $2.19
| Professional | | $0.68 | $0.85 | $2.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.89 / $0.89 / $0.95
| Facility | | $0.89 | $0.89 | $0.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.49 / $0.87 / $1.32
| Facility | | $0.49 | $0.87 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.38 / $0.87 / $1.29
| Professional | | $0.38 | $0.87 | $1.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $0.85 / $1.41
| Facility | | $0.66 | $0.85 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.26 / $0.26 / $0.26
| Professional | | $0.26 | $0.26 | $0.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $5.89 / $16.60
| Facility | | $1.00 | $5.89 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.89 / $0.89 / $1.35
| Professional | | $0.89 | $0.89 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $64.57 / $85.11
| Professional | | $54.95 | $64.57 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $1.58 / $2.34
| Professional | | $0.85 | $1.58 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $100.00
| Facility | | $0.87 | $0.87 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $0.87
| Professional | | $0.87 | $0.87 | $0.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $2.19
| Professional | | $1.17 | $1.17 | $2.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $1.58 / $1.58
| Facility | | $1.58 | $1.58 | $1.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $0.85 / $1.20
| Professional | | $0.60 | $0.85 | $1.20 |