- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $5.09 / $75.00
| Facility | | $1.74 | $5.09 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.43 / $5.51
| Professional | | $1.37 | $1.43 | $5.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.36 / $352.56 / $754.86
| Facility | | $1.36 | $352.56 | $754.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $1.53 / $8,639.91
| Facility | | $1.30 | $1.53 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Professional | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.41 / $1.41
| Facility | | $1.33 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.37 / $10.80 / $43.66
| Facility | | $3.37 | $10.80 | $43.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.36 / $1.60 / $724.75
| Facility | | $1.36 | $1.60 | $724.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $6.26 / $87.50
| Facility | | $1.50 | $6.26 | $87.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.46 / $4.13
| Professional | | $1.37 | $1.46 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.41 / $1.41
| Facility | | $1.33 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.06 / $1.06 / $1.23
| Facility | | $1.06 | $1.06 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.06 / $1.06 / $1.23
| Professional | | $1.06 | $1.06 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.58
| Professional | | $1.41 | $1.41 | $2.58 |