- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $16.43 / $53.41
| Facility | | $6.06 | $16.43 | $53.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.06 / $6.87
| Professional | | $4.40 | $6.06 | $6.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $260.00 / $876.00
| Facility | | $39.83 | $260.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $13.54 / $21.11
| Professional | | $6.20 | $13.54 | $21.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $51.07 / $93.57
| Facility | | $15.50 | $51.07 | $93.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $5.25 / $19.29
| Professional | | $3.68 | $5.25 | $19.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $9.35 / $20.42
| Facility | | $5.41 | $9.35 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $9.91 / $12.39
| Professional | | $9.50 | $9.91 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $8.08 / $99.00
| Professional | | $8.08 | $8.08 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.08 / $14.14
| Professional | | $6.46 | $8.08 | $14.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.06 / $60.00 / $60.00
| Facility | | $14.06 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $20.00 / $20.00
| Professional | | $20.00 | $20.00 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $7.27 / $14.54
| Facility | | $4.20 | $7.27 | $14.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $7.68 / $8.08
| Professional | | $6.22 | $7.68 | $8.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.08 / $11.31
| Professional | | $6.46 | $8.08 | $11.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $11.85
| Professional | | $3.39 | $3.39 | $11.85 |