- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $3.17 / $617.67
| Facility | | $1.35 | $3.17 | $617.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.36 / $4.36
| Professional | | $1.35 | $1.36 | $4.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $1.47 / $8,459.92
| Facility | | $1.25 | $1.47 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.40
| Professional | | $1.40 | $1.40 | $1.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $1.35 / $4.36
| Facility | | $1.27 | $1.35 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $3.15
| Professional | | $1.35 | $1.35 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $8.86 / $11.08
| Professional | | $1.17 | $8.86 | $11.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.65 / $47.32 / $935.38
| Facility | | $3.65 | $47.32 | $935.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $3.13 / $33.86
| Facility | | $1.29 | $3.13 | $33.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.47 / $4.36
| Professional | | $1.29 | $1.47 | $4.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $1.35 / $4.36
| Facility | | $1.27 | $1.35 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $1.35 / $3.15
| Professional | | $1.24 | $1.35 | $3.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $1.01
| Facility | | $0.87 | $0.87 | $1.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $1.01
| Professional | | $0.87 | $0.87 | $1.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.54 / $1.35 / $2.47
| Professional | | $0.54 | $1.35 | $2.47 |