- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $22.27 / $839.44
| Facility | | $9.33 | $22.27 | $839.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $8.83 / $20.87
| Professional | | $4.17 | $8.83 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.22 / $7.57 / $1,300.00
| Facility | | $2.22 | $7.57 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $7.56 / $21.51
| Professional | | $1.80 | $7.56 | $21.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $6.55 / $11.45
| Facility | | $4.11 | $6.55 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $4.53
| Professional | | $2.82 | $2.82 | $4.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $4.17 / $8.43
| Facility | | $2.29 | $4.17 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $2.40 / $12.41
| Professional | | $1.50 | $2.40 | $12.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $3,472.00 / $9,239.00
| Facility | | $9.44 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $15.38
| Professional | | $13.07 | $13.07 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.09 / $22.64
| Professional | | $7.73 | $9.09 | $22.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $4.04 / $24.08
| Facility | | $2.85 | $4.04 | $24.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $1,300.00 / $1,300.00
| Facility | | $85.00 | $1,300.00 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $3.00 / $6.82
| Professional | | $1.20 | $3.00 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $4.34 / $12.54
| Facility | | $2.45 | $4.34 | $12.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.78 / $9.55
| Professional | | $2.25 | $2.78 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $3.00 / $8.44
| Professional | | $1.26 | $3.00 | $8.44 |