- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $26.97 / $221.15
| Facility | | $1.32 | $26.97 | $221.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.66 / $0.98
| Professional | | $0.65 | $0.66 | $0.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $9.28 / $18.60
| Facility | | $3.72 | $9.28 | $18.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $5.22 / $5.22
| Professional | | $5.22 | $5.22 | $5.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $1.60 / $50.46
| Facility | | $0.65 | $1.60 | $50.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $15.47 / $15.47
| Facility | | $15.47 | $15.47 | $15.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.61 / $0.65 / $0.65
| Facility | | $0.61 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Professional | | $0.65 | $0.65 | $0.65 |
- 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
- $0.71 / $24.00 / $158.69
| Facility | | $0.71 | $24.00 | $158.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.53 / $0.65 / $1.17
| Professional | | $0.53 | $0.65 | $1.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,177.26 / $8,050.60 / $32,698.76
| Facility | | $6,177.26 | $8,050.60 | $32,698.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.53 / $0.65 / $0.94
| Facility | | $0.53 | $0.65 | $0.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.65 / $1.13
| Professional | | $0.61 | $0.65 | $1.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.59 / $0.65 / $0.65
| Professional | | $0.59 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.88
| Professional | | $0.63 | $0.63 | $0.88 |