- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $8.32 / $89.13
| Facility | | $1.51 | $8.32 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.21 / $1.07 / $18.20
| Professional | | $0.21 | $1.07 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $7.94 / $8.91
| Professional | | $0.09 | $7.94 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $1.41 / $2.69
| Facility | | $0.59 | $1.41 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.14 / $0.14 / $0.14
| Professional | | $0.14 | $0.14 | $0.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.14 / $3.24 / $30.90
| Facility | | $0.14 | $3.24 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $1.91
| Facility | | $1.91 | $1.91 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.83 / $0.83
| Facility | | $0.09 | $0.83 | $0.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.83 / $0.83 / $0.83
| Professional | | $0.83 | $0.83 | $0.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $9.33 / $91.20
| Facility | | $1.55 | $9.33 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.20 / $1.07 / $12.02
| Professional | | $0.20 | $1.07 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $0.10 / $0.10
| Professional | | $0.10 | $0.10 | $0.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.79 / $2.51
| Facility | | $0.09 | $0.79 | $2.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.32 / $0.79 / $0.79
| Professional | | $0.32 | $0.79 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $0.18 / $1.45
| Professional | | $0.09 | $0.18 | $1.45 |