- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.72 / $2.82
| Facility | | $1.41 | $1.72 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2,719.33
| Professional | | $1.47 | $1.47 | $2,719.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.18 / $1.18 / $1.47
| Facility | | $1.18 | $1.18 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.06
| Professional | | $1.47 | $1.47 | $2.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,208.00 / $1,208.00 / $1,208.00
| Facility | | $1,208.00 | $1,208.00 | $1,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.64
| Facility | | $1.38 | $1.38 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Professional | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $2.06 / $332.00
| Facility | | $1.38 | $2.06 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $1.59 / $3.63
| Professional | | $1.59 | $1.59 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $1.65 / $1.65
| Facility | | $1.52 | $1.65 | $1.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.52 / $1.65
| Professional | | $1.47 | $1.52 | $1.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $555.00
| Facility | | $1.38 | $1.38 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.04
| Professional | | $1.47 | $1.47 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.56 / $2.73
| Professional | | $1.47 | $1.56 | $2.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.52
| Facility | | $1.52 | $1.52 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.52
| Professional | | $1.47 | $1.47 | $1.52 |