- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $1.84 / $21.23
| Facility | | $1.61 | $1.84 | $21.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.89 / $10.03
| Professional | | $1.61 | $2.89 | $10.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $1.09 / $4.41
| Professional | | $0.85 | $1.09 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $2.21 / $2.21
| Facility | | $2.06 | $2.21 | $2.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.21 / $2.21
| Professional | | $2.21 | $2.21 | $2.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $3.08 / $3.08
| Facility | | $3.08 | $3.08 | $3.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $1.08 / $1.08
| Professional | | $1.08 | $1.08 | $1.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $4.80 / $332.00
| Facility | | $2.63 | $4.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $3.56 / $5.71
| Professional | | $2.76 | $3.56 | $5.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $16.12
| Facility | | $16.12 | $16.12 | $16.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $17.13 / $17.13
| Professional | | $2.21 | $17.13 | $17.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $2.31
| Facility | | $2.31 | $2.31 | $2.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $3.08 / $597.00
| Facility | | $3.08 | $3.08 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $1.08 / $4.51
| Professional | | $1.08 | $1.08 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.88 / $1.44 / $2.91
| Professional | | $0.88 | $1.44 | $2.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $17.41
| Facility | | $16.12 | $16.12 | $17.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $17.13
| Professional | | $16.12 | $16.12 | $17.13 |