- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.55 / $87.55 / $797.66
| Facility | | $0.55 | $87.55 | $797.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $0.19 / $52.77
| Professional | | $0.10 | $0.19 | $52.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.00 / $11.00
| Professional | | $10.00 | $11.00 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.39 / $0.48 / $5.07
| Facility | | $0.39 | $0.48 | $5.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.11 / $0.44 / $2.10
| Professional | | $0.11 | $0.44 | $2.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.10 / $0.10 / $85.00
| Facility | | $0.10 | $0.10 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $0.10 / $0.46
| Professional | | $0.10 | $0.10 | $0.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.17 / $0.69 / $1.73
| Facility | | $0.17 | $0.69 | $1.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.18 / $1.57 / $3.11
| Professional | | $0.18 | $1.57 | $3.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,243.19 / $11,243.19 / $49,708.23
| Facility | | $11,243.19 | $11,243.19 | $49,708.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.16 / $0.17 / $0.40
| Professional | | $0.16 | $0.17 | $0.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $0.11 / $0.13
| Professional | | $0.10 | $0.11 | $0.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $306.11 / $306.11 / $306.11
| Professional | | $306.11 | $306.11 | $306.11 |