- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $3.09 / $10.23
| Facility | | $1.32 | $3.09 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.95 / $5.25
| Professional | | $1.00 | $1.95 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.71
| Professional | | $0.65 | $0.65 | $0.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.91
| Facility | | $1.82 | $1.82 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.82
| Professional | | $1.82 | $1.82 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.60 / $0.60 / $85.11
| Facility | | $0.60 | $0.60 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $4.27
| Professional | | $0.65 | $0.65 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.63 / $0.81 / $2.29
| Facility | | $0.63 | $0.81 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.72 / $1.23
| Professional | | $0.72 | $0.72 | $1.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.07
| Facility | | $1.00 | $1.00 | $1.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.05
| Professional | | $1.00 | $1.00 | $1.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $2.34 / $6.03
| Facility | | $1.00 | $2.34 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.89 / $0.91 / $1.12
| Professional | | $0.89 | $0.91 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.05 / $4.79 / $53,703.18
| Facility | | $1.05 | $4.79 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $1.15
| Professional | | $0.65 | $0.65 | $1.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.17
| Facility | | $1.00 | $1.00 | $1.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.47 / $1.00 / $1.20
| Professional | | $0.47 | $1.00 | $1.20 |