- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.93 / $21.91 / $131.82
| Facility | | $2.93 | $21.91 | $131.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.08 / $4.32
| Professional | | $1.07 | $1.08 | $4.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.21 / $1.42 / $636.38
| Facility | | $1.21 | $1.42 | $636.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.99 / $1.15 / $8,639.91
| Facility | | $0.99 | $1.15 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.11 / $1.11
| Professional | | $1.11 | $1.11 | $1.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $1.07 / $1.07
| Facility | | $1.01 | $1.07 | $1.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $11.50 / $36.22
| Facility | | $2.00 | $11.50 | $36.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.21 / $1.38 / $611.00
| Facility | | $1.21 | $1.38 | $611.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $31.83 / $131.82
| Facility | | $2.60 | $31.83 | $131.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.18 / $3.37
| Professional | | $1.07 | $1.18 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $1.07 / $1.07
| Facility | | $1.01 | $1.07 | $1.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.77
| Facility | | $1.52 | $1.52 | $1.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.77
| Professional | | $1.52 | $1.52 | $1.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.96
| Professional | | $1.07 | $1.07 | $1.96 |