- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.62 / $2.69
| Facility | | $1.12 | $1.62 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.57 / $25.12
| Professional | | $1.00 | $2.57 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $1.02
| Professional | | $0.91 | $0.91 | $1.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.41
| Facility | | $7.08 | $7.08 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.08
| Professional | | $7.08 | $7.08 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $85.11
| Facility | | $0.85 | $0.85 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $26.30
| Professional | | $0.91 | $0.91 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $9.55 / $26.30
| Facility | | $7.24 | $9.55 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $14.13
| Professional | | $8.32 | $8.32 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $6.46
| Facility | | $6.17 | $6.17 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $6.31
| Professional | | $6.17 | $6.17 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $8.32
| Facility | | $8.13 | $8.13 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $50,118.72 / $75,857.76
| Facility | | $10.00 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $8.32
| Professional | | $0.91 | $0.91 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $7.24
| Facility | | $6.17 | $6.17 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.17 / $7.41
| Professional | | $4.37 | $6.17 | $7.41 |