- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $8.58 / $87.09
| Facility | | $2.89 | $8.58 | $87.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.11 / $1.32
| Professional | | $1.10 | $1.11 | $1.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.42 / $0.70 / $1.75
| Facility | | $0.42 | $0.70 | $1.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $0.52 / $0.52
| Professional | | $0.52 | $0.52 | $0.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.82 / $2.00 / $29.35
| Facility | | $0.82 | $2.00 | $29.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $4.40 / $4.40
| Facility | | $4.40 | $4.40 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.04 / $1.10 / $1.10
| Facility | | $1.04 | $1.10 | $1.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.10
| Professional | | $1.10 | $1.10 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $10.42 / $36.43
| Facility | | $1.50 | $10.42 | $36.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $1.10 / $1.76
| Professional | | $0.72 | $1.10 | $1.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,499.00 / $3,456.44 / $17,215.77
| Facility | | $2,499.00 | $3,456.44 | $17,215.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $1.10 / $1.57
| Facility | | $0.59 | $1.10 | $1.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.92 / $1.10 / $1.54
| Professional | | $0.92 | $1.10 | $1.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.10
| Professional | | $1.10 | $1.10 | $1.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $1.49
| Professional | | $0.85 | $0.85 | $1.49 |